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VELASCO MEDICAL CORP
NPI 1073277539
Pediatrics in Chula Vista, CA

Active since October 29, 2021CLIA 05D2283345 · Waiver
1741 EASTLAKE PKWY STE 102-540, CHULA VISTA, CA 91915(619) 775-8017 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Velasco Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VELASCO MEDICAL CORP (NPI 1073277539), doing business as Velasco Pediatrics, is a healthcare organization registered as a pediatrics in Chula Vista, California and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Victor Rene Velasco Andrade, President, as its authorized official.

NPPES Registry Identity

NPI1073277539
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVELASCO MEDICAL CORP
Location Address1741 EASTLAKE PKWY STE 102-540Chula Vista, CA 91915-2032
Mailing Address1741 Eastlake Pkwy Ste 102-540Chula Vista, CA 91915-2032 · (619) 775-8017
Phone(619) 775-8017
Organization SubpartNo
Authorized OfficialVictor Rene Velasco AndradePresident · (310) 242-7696
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1073277539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1741 EASTLAKE PKWY STE 102-540, Chula Vista, CA 91915
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Other Names 1

Doing Business AsVelasco Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2283345

Velasco Medical Corp · Chula Vista, CA
Active · expires Jun 5, 2027
CLIA Number05D2283345
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorVictor R. Velasco Andrade
Laboratory Phone(619) 775-8017
Laboratory LocationVelasco Medical Corp1741 Eastlake Pkwy Suite 102, Chula Vista, CA 91915
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Velasco Medical Corp's NPI number?

The NPI number for Velasco Medical Corp is 1073277539. It was assigned to this organization in the NPPES registry on October 29, 2021. The provider is doing business as Velasco Pediatrics.

Where is Velasco Medical Corp located?

Velasco Medical Corp is located at 1741 Eastlake Pkwy Ste 102-540, Chula Vista, CA 91915. The listed phone number is (619) 775-8017.

What is Velasco Medical Corp's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Velasco Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2283345) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Velasco Medical Corp was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.