BRENDA VELASCO (NPI# 1619404639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619404639 |
| Entity Type | Individual |
| Full Name | BRENDA VELASCO |
| Practice Address |
1260 Morena Blvd San Diego CA 92110-3889 |
| Mailing Address |
9171 Towne Centre Dr Ste 215 San Diego CA 92122-1236 |
| Practice Telephone | 6193980355 |
| Mailing Telephone | 9498642365 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002354 | Brenda Velasco | Counselor | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2017-09-14 |
| 1548422405 | Brenda Raquel Velasco | Specialist | 3401 N Broad St, Department of Gastroenterology, Temple University Hospi, Philadelphia, PA 19140-5103 | 2008-07-01 |
| Street Address |
1260 MORENA BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375381 | John Klecker | Counselor | 1260 Morena Blvd, San Diego, CA 92110 | 2006-11-21 |
| 1316564305 | Sylvia Perez | Counselor | 1260 Morena Blvd, San Diego, CA 92110-3889 | 2020-06-25 |
| 1285289074 | Michelle Diane Ponce | Licensed Vocational Nurse | 1260 Morena Blvd, San Diego, CA 92110 | 2019-08-07 |
| 1477019438 | Kristen Alisa Hartlieb | Counselor | 1260 Morena Blvd, San Diego, CA 92110-3889 | 2019-02-14 |
| 1417420159 | Rebecca Blakeslee | Registered Nurse | 1260 Morena Blvd, San Diego, CA 92110-3889 | 2019-01-04 |
| 1871072769 | Shanniel Andrea Ashford | Counselor | 1260 Morena Blvd, San Diego, CA 92110 | 2018-08-10 |
| 1376084897 | Neil Houlihan | Counselor | 1260 Morena Blvd, 100, San Diego, CA 92110-3889 | 2017-03-16 |
| 1144766221 | Kyle Kathleen Moon | Counselor | 1260 Morena Blvd, San Diego, CA 92110-3889 | 2017-01-12 |
| 1174069405 | Agnes-jan Duldulao | Licensed Vocational Nurse | 1260 Morena Blvd, Ste. 100, San Diego, CA 92110-3889 | 2017-01-10 |
| 1306382858 | Shaleah Alania Lewis | Counselor | 1260 Morena Blvd, Ste. 100, San Diego, CA 92110-3889 | 2017-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.