ANDREW JUSTIN VELASCO DO
NPI 1861076358
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA

Q: What is Andrew Justin Velasco's NPI number?

The NPI number for Andrew Justin Velasco is 1861076358. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Q: What is Andrew Justin Velasco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment

23520 CACTUS AVE, MORENO VALLEY, CA 92553(951) 867-3825(951) 486-5010 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2024, May 10, 2021 (2 updates tracked since 2021).

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About Andrew Justin Velasco Do NPPES

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

ANDREW JUSTIN VELASCO DO (NPI 1861076358) is an individual student in an organized health care education/training program in Moreno Valley, California and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861076358

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW JUSTIN VELASCOCredential: DO

Location Address23520 CACTUS AVEMoreno Valley, CA 92553-8906

Mailing Address23520 Cactus AveMoreno Valley, CA 92553-8906 · (951) 867-3825 · Fax (951) 486-5010

Phone(951) 867-3825

Fax(951) 486-5010

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 10, 2021

Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 3, 2021

✔ NPI 1861076358 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.

23520 CACTUS AVE, Moreno Valley, CA 92553

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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

Andrew Justin Velasco Do 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.

PECOS PAC ID9436684529

PECOS Enrollment IDI20241126003370

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.

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.

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