Individual provider Active NPI

David Frederick Velkoff, M.D.

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1891086369
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G34929 Issued in CA
Practice address
4330 Barranca Pkwy Ste 130
Irvine, CA 92604-1703
Phone
(800) 700-4233
Fax
(949) 653-2714
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G34929 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy Ste 130
Irvine, CA 92604-1703

Mailing address

4330 Barranca Pkwy Ste 130
Irvine, CA 92604-1703
Phone (800) 700-4233

Other practice location 1

11111 W Olympic Blvd Ste 210
Los Angeles, CA 90064-1842
Phone (310) 208-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 16, 2021 through Nov 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G34929CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1891086369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041703",
            "telephone_number": "800-700-4233",
            "fax_number": "949-653-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041703",
            "telephone_number": "800-700-4233",
            "fax_number": "949-653-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11111 W Olympic Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900641842",
            "country_code": "US",
            "telephone_number": "310-208-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELKOFF",
        "first_name": "DAVID",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G34929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.