Elizabeth Velazquez Zaldivar, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10248 Issued in AZ

Practice address

521 W Thomas Rd
Phoenix, AZ 85013-4240

Phone

(602) 254-0390

Fax

(480) 591-8950

NPI assigned

Jul 31, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Kids Kare Pediatrics

  • Point of Service
  • Phoenix, AZ
  • NPI 1699144857
  NPD (past)

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1841029469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134240",
            "telephone_number": "602-254-0390",
            "fax_number": "480-591-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134240",
            "telephone_number": "602-254-0390",
            "fax_number": "480-591-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ ZALDIVAR",
        "first_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10248",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velaro Medical Group PLLC
• Yvonne Velasco, APN
• Alexander Velasquez
• Bernardino Velasquez, MD
• Tanya Velasquez, RN
• Andrea Susan Velazquez, MSW
• Aurelia Melissa Velazquez, M.A., CCC-SLP
• Chloe Velazquez
• David Velazquez
• Ivan Velazquez

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.