Healthcare Provider Details

I. General information

NPI: 1376464032
Provider Name (Legal Business Name): ARIANA MICHELE VELA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W HOSPITAL RD
FRENCH CAMP CA
95231-9693
US

IV. Provider business mailing address

3031 BALLENA ST
MANTECA CA
95337-7012
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-6280
  • Fax:
Mailing address:
  • Phone: 209-923-3464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: