RAY VELASCO (NPI# 1740492289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740492289 |
| Entity Type | Individual |
| Full Name | RAY VELASCO |
| Credential | A.C.N.P. |
| Practice Address |
399 E Highland Ave Suite 307 San Bernardino CA 92404-3808 |
| Practice Telephone | 9098817400 |
| Practice Fax Number | 9098817404 |
| Mailing Telephone | 9098817400 |
| Mailing Fax Number | 9098817404 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
399 E HIGHLAND AVE SUITE 307 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292935 | William W Goral | Otolaryngology | 399 E Highland Ave, Ste 503, San Bernardino, CA 92404-3873 | 2005-06-02 |
| 1831650563 | Dawn M. Terashita, PC | Preventive Medicine | 399 E Highland Ave, Suite 117, San Bernardino, CA 92404-3808 | 2019-03-26 |
| 1114378171 | Thomas Sin Young Chung | Nurse Practitioner | 399 E Highland Ave, Suite 307, San Bernardino, CA 92404-3808 | 2016-06-30 |
| 1972960714 | Robert Williamsen | Pharmacist | 399 E Highland Ave, Ste 103, San Bernardino, CA 92404-3808 | 2016-01-25 |
| 1649698812 | Victoria Kachaturian | Registered Nurse | 399 E Highland Ave, Suite 324, San Bernardino, CA 92404-3808 | 2014-04-03 |
| 1386061364 | Apex Pediatrics, Inc | Clinical Nurse Specialist | 399 E Highland Ave, Suite 329, San Bernardino, CA 92404-3808 | 2014-03-27 |
| 1205262706 | Nadia M Nemeh | Dietitian, Registered | 399 E Highland Ave, Ste 427, San Bernardino, CA 92404-3808 | 2013-09-17 |
| 1093088064 | Nancy Samudio Md & Philis D Ransom Md, Inc, A Professional Medical Cor | Obstetrics & Gynecology | 399 E Highland Ave, Suite 516, San Bernardino, CA 92404-3808 | 2012-02-21 |
| 1487961421 | Pro Office Inc | General Practice | 399 E Highland Ave, 309, San Bernardino, CA 92404-3808 | 2010-09-13 |
| 1700103561 | Inland Empire Medical Network | Internal Medicine | 399 E Highland Ave, Suite 110, San Bernardino, CA 92404-3808 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281798 | Manjit Rai | Nurse Practitioner | 1998 N Arrowhead Ave, San Bernardino, CA 92405-4116 | 2019-12-04 |
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| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.