Active NPI
Alyssa Velasco
- EEG Technician
- Pomona, CA
National Provider Identifier
1801609839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- Practice address
- 300 S Park Ave Ste 780
Pomona, CA 91766-1553 - Phone
- (909) 621-6184
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| EEG Technician | 2472E0500X | Primary |
Addresses
Primary practice location
300 S Park Ave Ste 780
Pomona, CA 91766-1553
Mailing address
892 James PL
Pomona, CA 91767-3310
Phone (626) 347-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1801609839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "892 JAMES PL",
"city": "POMONA",
"state": "CA",
"postal_code": "917673310",
"telephone_number": "626-347-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S PARK AVE STE 780",
"city": "POMONA",
"state": "CA",
"postal_code": "917661553",
"telephone_number": "909-621-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "ALYSSA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.