CARLOS R VELASCO (NPI# 1528460508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528460508 |
| Entity Type | Individual |
| Full Name | CARLOS R VELASCO |
| Credential | LPCC |
| Practice Address |
3761 Stocker St Ste 106 View Park CA 90008-5129 |
| Mailing Address |
Po Box 291083 Los Angeles CA 90029-9083 |
| Practice Telephone | 8182207828 |
| Practice Fax Number | 3232915007 |
| Mailing Telephone | 3233549242 |
| Enumeration Date | 2014-09-21 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5800 | CA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5800 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIOR SCIENCES | LPCC5800 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15339 Saticoy St Rm 214, Van Nuys, CA 914063345 | 8182207828 | 3232915008 |
| 13130 Burbank Blvd, Sherman Oaks, CA 914016000 | 8779435747 | |
| 4855 Santa Monica Blvd Ste 108, Los Angeles, CA 900292654 | 8182207828 | 3232915007 |
| 12099 W Washington Blvd Ste 200, Los Angeles, CA 900662622 | 8182207828 | 3232915008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572700 | Carlos Velasco | Emergency Medicine | 601 E Rollins St., Orlando, FL 32803 | 2013-03-22 |
| 1124434741 | Carlos Velasco | Case Manager/Care Coordinator | 290 I O O F Ave, Gilroy, CA 95020-5204 | 2014-07-02 |
| 1730111386 | Carlos Ricardo Velasco | Family Medicine | 1515 Pappas St, Laredo, TX 78041-1705 | 2006-07-06 |
| 1013955319 | Carlos E Velasco | Internal Medicine | 3600 Gaston Ave, Suite 851, Dallas, TX 75246-1800 | 2006-06-02 |
| Street Address |
3761 STOCKER ST STE 106 |
| City | VIEW PARK |
| State | CA |
| Zip Code | 90008-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095028 | Sandra Rebolledo | Counselor | 3761 Stocker St Ste 106, View Park, CA 90008-5129 | 2010-01-06 |
| 1346728862 | Leonor Rojas | Counselor | 3761 Stocker St Ste 106, View Park, CA 90008-5129 | 2018-08-06 |
| 1770073959 | Jazmin Arredondo | Rehabilitation Practitioner | 3761 Stocker St Ste 106, View Park, CA 90008-5129 | 2018-05-14 |
| 1982130449 | Sean Smith | Case Manager/Care Coordinator | 3761 Stocker St Ste 106, View Park, CA 90008-5129 | 2017-05-03 |
| 1316363609 | Ana M. Jaimes | Rehabilitation Practitioner | 3761 Stocker St Ste 106, View Park, CA 90008-5129 | 2014-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.