Individual provider Active NPI

Gienah Velasco, FNP-C

  • Family Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1972377489
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027274 Issued in CA
Practice address
18920 Wilton PL
Torrance, CA 90504-6118
Phone
(310) 634-6569
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027274 CA Primary

Addresses

Primary practice location

18920 Wilton PL
Torrance, CA 90504-6118

Mailing address

18920 Wilton PL
Torrance, CA 90504-6118

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220004181 CA Practitioner - Nurse Practitioner 3375987175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1400 Mountain Ave
Suite J
Duarte, CA 91010-2471

18920 Wilton PL
Torrance, CA 90504-6118

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

PO Box
Los Angeles, CA 90084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of California LLC CurrentSince Jan 12, 2026 Accepting new patients
Global Wound Care Medical Group CurrentSince Jan 29, 2024 Accepting new patients
Homecare Wound Care Services CurrentSince Apr 1, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

1400 Mountain Ave
Ste J
Duarte, CA 91010
Phone (888) 699-9997

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

4640 Admiralty Way
Ste 420
Marina del Rey, CA 90292
Phone (424) 526-5151

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1972377489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 WILTON PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905046118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18920 WILTON PL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905046118",
            "telephone_number": "310-634-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "GIENAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.