Individual provider Active NPI

Ruben San Diego Velasquez, M.D.

  • Internal Medicine Physician
  • Vallejo, CA
National Provider Identifier
1659451854
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A26381 Issued in CA
Practice address
1460 N Camino Alto
Suite 106
Vallejo, CA 94589-2567
Phone
(707) 644-5297
Fax
(707) 644-1331
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A26381 CA Primary

Addresses

Primary practice location

1460 N Camino Alto
Suite 106
Vallejo, CA 94589-2567

Mailing address

1460 N Camino Alto
Suite 209
Vallejo, CA 94589-2567
Phone (707) 644-5297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000075 CA Practitioner - Internal Medicine 5890957666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Voltaire S Velarde MD IncGroup PAC ID 1052387099, 3 clinicians

Practice addresses (Care Compare)

1460 N Camino Alto
Suite 109
Vallejo, CA 94589-2567
Phone (707) 552-7421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26381CAMDGeneral Practice Dentistry
A26381CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Voltaire S Velarde MD Inc Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1460 N Camino Alto
Ste 209
Vallejo, CA 94589
Phone (707) 552-7421

1460 N Camino Alto
Ste 109
Vallejo, CA 94589
Phone (707) 552-1262

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1659451854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "SUITE 209",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-644-5297",
            "fax_number": "707-644-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "SUITE 106",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-644-5297",
            "fax_number": "707-644-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "RUBEN",
        "middle_name": "SAN DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A26381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.