Individual provider Active NPI

Jeannette Delvalle Velez, M.D.

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1952370074
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42660 Issued in CA
Practice address
754 Medical Center CT
101
Chula Vista, CA 91911-6654
Phone
(619) 421-3313
Fax
(619) 421-3315
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A42660 CA Primary

Addresses

Primary practice location

754 Medical Center CT
101
Chula Vista, CA 91911-6654

Mailing address

332 S Juniper St Ste 100
Escondido, CA 92025-4941
Phone (760) 291-6604

Other identifiers 1

IdentifierTypeStateIssuer
00A426600MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000351 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4183779788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jeannette del Valle MD, Inc. Internal Medicine CurrentSince Jul 28, 2009 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients

Locations

769 Medical Center Ct
Ste 203
Chula Vista, CA 91911
Phone (619) 421-3313

754 Medical Center Ct
Ste 101
Chula Vista, CA 91911
Phone (619) 421-3313

Interoperability endpoints

  • Direct secure messaging: jdelvalle59899@sharphealthcare.direct-ci.com

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1952370074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S JUNIPER ST STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254941",
            "telephone_number": "760-291-6604",
            "fax_number": "760-737-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT",
            "address_2": "101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116654",
            "telephone_number": "619-421-3313",
            "fax_number": "619-421-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVALLE VELEZ",
        "first_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A426600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.