Andrew V Velikic, IDC

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Practice address

3401 Farenholt Ave BLDG 14
San Diego, CA 92134-5291

Phone

(619) 532-5110

NPI assigned

Sep 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982324679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555657",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555657",
            "telephone_number": "760-725-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FARENHOLT AVE BLDG 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345291",
            "telephone_number": "619-532-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIKIC",
        "first_name": "ANDREW",
        "middle_name": "V",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jo Velez, G.N.P.
• Ian Olazo Velez, RN
• Kara Marie Velez, LAC
• Regina Marie Velez, LVN
• Stephanie R Velez
• Emily Veliz
• Gene Matthew Velk, DDS
• Bhakti Machindra Velker, PT
• Maria Rose Vella, RN
• Sylvia Vella, PSY.D.

• Military/U.S. Coast Guard Outpatient Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.