Healthcare Provider Details

I. General information

NPI: 1477469674
Provider Name (Legal Business Name): CHANTAL MARIE VELAZQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 E SAN JOAQUIN ST STE 106
SALINAS CA
93901-2946
US

IV. Provider business mailing address

928 SANTA BARBARA
SOLEDAD CA
93960-3371
US

V. Phone/Fax

Practice location:
  • Phone: 831-216-6399
  • Fax: 831-208-3127
Mailing address:
  • Phone: 831-261-6356
  • Fax: 831-208-3127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: