Individual provider Active NPI

Santiago Velez

  • Physician Assistant
  • Kennewick, WA
National Provider Identifier
1942090592
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA70004090 Issued in WA
Practice address
6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone
(509) 543-9280
NPI assigned
May 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1210273
Physician Assistant 363A00000X PA70004090 WA Primary

Addresses

Primary practice location

6351 W Rio Grande Ave
Kennewick, WA 99336-7634

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003460 WA Practitioner - Physician Assistant 1850809369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

1608 N Rd
Suite 44
Pasco, WA 99301-2667
Phone (509) 543-9280

6351 W Rio Grande Ave
Kennewick, WA 99336-7634
Phone 50986561752138

713 Memorial St
Prosser, WA 99350-1524
Phone (509) 788-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 10, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 10, 2025 Accepting new patients

Locations

6351 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 543-9280

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

1120 W Rose St
Walla Walla, WA 99362
Phone (509) 525-6650

Interoperability endpoints

  • Direct secure messaging: svelez51759@yvfwc.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1942090592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-865-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 W RIO GRANDE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367634",
            "telephone_number": "509-543-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "SANTIAGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1210273",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA70004090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.