CHRISTIAN VELAZCO
NPI 1386446821
Student in an Organized Health Care Education/Training Program in Modesto, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2025PECOS Enrolled

1700 COFFEE RD, MODESTO, CA 95355(209) 572-7095 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2025, Mar 25, 2025 (2 updates tracked since 2025).

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About Christian Velazco NPPES

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

CHRISTIAN VELAZCO (NPI 1386446821) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386446821

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHRISTIAN VELAZCO

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address1700 Coffee RdModesto, CA 95355-2803

Phone(209) 572-7095

Sole ProprietorNo

Enumeration DateMarch 25, 2025

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1386446821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1700 COFFEE RD, Modesto, CA 95355

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Other Names 1

Former Name (1)Christian Antonio Velazco Najera

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Velazco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.