Organization Active NPI

Carmen Velazquez MD Inc

  • Internal Medicine Physician
  • National City, CA
National Provider Identifier
1780046672
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56153 Issued in CA
Legal business name
CARMEN VELAZQUEZ MD INC
Practice address
2575 East Eight Street
National City, CA 91950
Phone
(224) 829-2717
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Mrs. Carmen Velazquez, MD INC
Title
President
Phone
(224) 829-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A56153 CA Primary

Addresses

Primary practice location

2575 East Eight Street
National City, CA 91950

Mailing address

3507 Valley Vista Rd
Bonita, CA 91902-1120
Phone (224) 829-2717

National Provider Directory

National Provider Directory

Locations

345 F St
Ste 220
Chula Vista, CA 91910
Phone (619) 397-5400

Practitioners & affiliated clinicians

Practitioners 2

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1780046672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 VALLEY VISTA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021120",
            "telephone_number": "224-829-2717",
            "fax_number": "619-512-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 EAST EIGHT STREET",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "224-829-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN VELAZQUEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-829-2717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD INC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.