Organization Active NPI

Cesar Velez Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1730231523
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A53490 Issued in CA
Legal business name
CESAR VELEZ MEDICAL GROUP INC
Practice address
1411 W Sunset Blvd
Suite 203
Los Angeles, CA 90026-3431
Phone
(213) 482-8313
Fax
(213) 481-8373
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Cesar A Velez, MDNPI 1922043587
Title
President
Phone
(213) 482-8313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A53490 CA Primary

Addresses

Primary practice location

1411 W Sunset Blvd
Suite 203
Los Angeles, CA 90026-3431

Mailing address

1411 W Sunset Blvd
Suite 203
Los Angeles, CA 90026-3431
Phone (213) 482-8313

Other identifiers 2

IdentifierTypeStateIssuer
GR0102620MedicaidCA
ZZZ50140ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060510000305 CA Part B Supplier - Clinic/Group Practice 5193736759 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1730231523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W SUNSET BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263431",
            "telephone_number": "213-482-8313",
            "fax_number": "213-481-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SUNSET BLVD",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263431",
            "telephone_number": "213-482-8313",
            "fax_number": "213-481-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR VELEZ MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-482-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ50140Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.