Healthcare Provider Details

I. General information

NPI: 1104885094
Provider Name (Legal Business Name): SARA VELASCO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CIRCLE DR
SALINAS CA
93905-2150
US

IV. Provider business mailing address

440 AIRPORT BLVD
SALINAS CA
93905-3302
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-6237
  • Fax: 831-757-8458
Mailing address:
  • Phone: 831-757-8689
  • Fax: 831-757-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number45395
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG51394
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: