Individual provider Active NPI

Ray Velasco, A.C.N.P.

  • Acute Care Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1740492289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Practice address
399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone
(909) 881-7400
Fax
(909) 881-7404
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X CA Primary

Addresses

Primary practice location

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808

Mailing address

399 E Highland Ave
Suite 307
San Bernardino, CA 92404-3808
Phone (909) 881-7400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000989 CA Practitioner - Nurse Practitioner 5890764898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Medical Group IncGroup PAC ID 8123930427, 71 clinicians

Practice addresses (Care Compare)

275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0377905-28CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Oct 9, 2025 Accepting new patients
Symbiosis, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Desert Heart Physicians Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Desert Heart Physicians Medical Group, Inc. Current Accepting new patients
Cep America - California Past Accepting new patients

Locations

41990 Cook St
Ste 601
Palm Desert, CA 92211
Phone (760) 325-1203

1180 N Indian Canyon Dr
Ste E319
Palm Springs, CA 92262
Phone (700) 325-1203

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

1801 Orange Tree Ln
Ste 100
Redlands, CA 92374
Phone (909) 880-0911

Interoperability endpoints

  • Direct secure messaging: ray.velasco.p2@direct.mydohc.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740492289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 307",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-881-7400",
            "fax_number": "909-881-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "RAY",
        "credential": "A.C.N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.