Edgar Vinicio Vela, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13813 Issued in CA

Practice address

2230 N Naomi St
Burbank, CA 91504-3226

Phone

(818) 846-5107

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760608053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N NAOMI ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043226",
            "telephone_number": "818-846-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N NAOMI ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043226",
            "telephone_number": "818-846-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "EDGAR",
        "middle_name": "VINICIO",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Andres Vazquez
• Jessica Rae Vazquez, RN
• Janeen Vega
• Yaza Vega, FNP-C
• Veil to Vessel Doula Services Inc.
• Rachel Kathryn Velard, M.A., CCC-SLP
• Andrea Fernanda Velasco, M.S., BCBA
• Brittany Velasco
• Nathaniel Velasquez
• Patricia Velez

• Physical Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.