Individual provider Active NPI

Aurora Velazquez

  • Marriage & Family Therapist
  • Lynwood, CA
National Provider Identifier
1962885665
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122807 Issued in CA
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

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
122807CAMDMarriage & Family Therapist
83395CAMDMarriage & Family Therapist
IMF83395CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc PastSince Jan 1, 2020 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.

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.

Verify at the official NPI Registry.