Active NPI
Aurora Velazquez
- Marriage & Family Therapist
- Lynwood, CA
National Provider Identifier
1962885665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122807
- Practice address
- 3737 Martin Luther King Jr Blvd Ste 550
Lynwood, CA 90262-3536 - Phone
- (323) 216-1049
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 83395 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF83395 | CA | |
| Marriage & Family Therapist | 106H00000X | 122807 | CA | Primary |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd Ste 550
Lynwood, CA 90262-3536
Mailing address
3737 Martin Luther King Jr Blvd Ste 550
Lynwood, CA 90262-3536
Phone (323) 216-1049
Other practice location 1
6635 Florence Ave Ste 101
Bell Gardens, CA 90201-4968
Phone (323) 647-6740
Other practice location 2
1501 Hughes Way Ste 150
Long Beach, CA 90810-1878
Phone (310) 868-5379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122807 | CA | MD | Marriage & Family Therapist |
| 83395 | CA | MD | Marriage & Family Therapist |
| IMF83395 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enki Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1427500263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1962885665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD STE 550",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623536",
"telephone_number": "323-216-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD STE 550",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623536",
"telephone_number": "323-216-1049"
}
],
"practiceLocations": [
{
"address_1": "6635 Florence Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Bell Gardens",
"state": "CA",
"postal_code": "902014968",
"country_code": "US",
"telephone_number": "323-647-6740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 Hughes Way Ste 150",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908101878",
"country_code": "US",
"telephone_number": "310-868-5379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "AURORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "83395",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF83395",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.