Cosme Vela

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2515225 Issued in ZZ

Practice address

2284 I Yturralde Dr
Calexico, CA 92231-9795

Phone

(619) 831-0437

Fax

(619) 785-3404

NPI assigned

Feb 28, 2024

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

Practice roles

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.

• Xpquick Claims Inc

  • Dental Clinic/Center
  • San Ysidro, CA
  • NPI 1285039818
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1770340549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E SAN YSIDRO BLVD STE 128",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733123",
            "telephone_number": "619-831-0437",
            "fax_number": "619-785-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 I YTURRALDE DR",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319795",
            "telephone_number": "619-831-0437",
            "fax_number": "619-785-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA",
        "first_name": "COSME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ZZ",
            "license": "2515225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Fernanda Valenzuela
• George Vasquez
• Carla Jazmine Vazquez
• Orlando Caleb Vazquez, P.T.
• Eveline Vega
• Maricruz Velasquez
• Veronica Yee MD
• Serliza Miclat Viri
• Vo Neighborhood Medical Clinic
• Walmart Inc. (Walmart Pharmacy 10-1859)

• General Practice Dentistry in Calexico, CA
• Providers in Calexico, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.