NICOLE JILLIAN VELASQUEZ PA-C
NPI 1295405413
Physician Assistant in Los Angeles, CA
About Nicole Jillian Velasquez Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JILLIAN VELASQUEZ PA-C (NPI 1295405413) is an individual physician assistant in Los Angeles, California, licensed in California (PA64271) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orange, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Jillian Velasquez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 Nicole Velasquez's NPI number?
The NPI number for Nicole Velasquez is 1295405413. It was assigned to this individual provider in the NPPES registry on September 18, 2021. The provider is also known as Nicole Jillian Wypychowski.
Where is Nicole Velasquez located?
Nicole Velasquez practices at 1441 Eastlake Ave, Los Angeles, CA 90089. The listed phone number is (323) 865-3000.
What is Nicole Velasquez's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Velasquez enrolled in Medicare?
Yes. Nicole Velasquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nicole Velasquez was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Nicole Jillian Velasquez, PA-C · NPI 1295405413
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 18, 2021.
## Identity
- **NPI:** 1295405413 (Entity type: Individual)
- **Enumerated:** September 18, 2021
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA64271 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1441 EASTLAKE AVE, Los Angeles, CA 90089-3733
- **Phone:** (323) 865-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295405413) · Data from the CMS NPPES public registry.