MAXINE AMANDA VELAZQUEZ
NPI 1952863565
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
995 POTRERO AVE BLDG 80, SAN FRANCISCO, CA 94110(415) 206-5252 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maxine Amanda Velazquez NPPES

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

MAXINE AMANDA VELAZQUEZ (NPI 1952863565) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2019).

NPPES Registry Identity

NPI1952863565
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAXINE AMANDA VELAZQUEZ
Location Address995 POTRERO AVE BLDG 80San Francisco, CA 94110-2859
Mailing Address995 Potrero Ave Bldg 80San Francisco, CA 94110-2859 · (415) 206-5252
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateSeptember 26, 2023
NPI 1952863565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

995 POTRERO AVE BLDG 80, San Francisco, CA 94110

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

Maxine Amanda Velazquez 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 ID9436560927
PECOS Enrollment IDI20230511002407
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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
995 POTRERO AVE BLDG 80, SFGH FAMILY & COMMUNITY MEDICINE
SAN FRANCISCO, CA 94110
Nurse Practitioner (Family)
995 POTRERO AVE BLDG 80, POSITIVE HEALTH PROGRAM
SAN FRANCISCO, CA 94110
Family Medicine
995 POTRERO AVE BLDG 80, SFGH FAMILY & COMMUNITY MEDICINE
SAN FRANCISCO, CA 94110
Internal Medicine (Infectious Disease)
995 POTRERO AVE BLDG 80
SAN FRANCISCO, CA 94110
Student in an Organized Health Care Education/Training Program
995 POTRERO AVE BLDG 80, WARD 83
SAN FRANCISCO, CA 94110
Social Worker (Clinical)
995 POTRERO AVE BLDG 80
SAN FRANCISCO, CA 94110
Family Medicine
995 POTRERO AVE BLDG 80, ATTENTION: CREDENTIALING DEPT.
SAN FRANCISCO, CA 94110
Community Health Worker
995 POTRERO AVE BLDG 80
SAN FRANCISCO, CA 94110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952863565, enumerated as an "individual" on April 02, 2019.

The provider is located at 995 POTRERO AVE BLDG 80 SAN FRANCISCO, CA 94110 and the phone number is (415) 206-5252.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.