Active NPI
Miguel A Velez, MD
- Surgery Physician
- Anaheim, CA
National Provider Identifier
1700813672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G50906
- Practice address
- 1211 W la Palma Ave
Ste 705
Anaheim, CA 92801-2814 - Phone
- (714) 772-6701
- Fax
- (714) 772-5240
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G50906 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave
Ste 705
Anaheim, CA 92801-2814
Mailing address
1211 W la Palma Ave
Ste 705
Anaheim, CA 92801-2814
Phone (714) 772-6701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0000190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50906 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1700813672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "STE 705",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012814",
"telephone_number": "714-772-6701",
"fax_number": "714-772-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "STE 705",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012814",
"telephone_number": "714-772-6701",
"fax_number": "714-772-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "MIGUEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G50906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0000190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.