| Joel Q. Velasquez, M.d. Incorporated | |
|
12677 Hesperia Rd Ste 130 Victorville CA 92395-7735 | |
| (760) 241-7763 | |
| (760) 241-6383 |
| Full Name | Joel Q. Velasquez, M.d. Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 12677 Hesperia Rd Ste 130, Victorville, California |
| Authorized Official Name and Position | Penny Ellen Chavez (OFFICE MANAGER) |
| Authorized Official Contact | 7602417763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Q. Velasquez, M.d. Incorporated 12677 Hesperia Rd Ste 130 Victorville CA 92395-7735 Ph: (760) 241-7763 | Joel Q. Velasquez, M.d. Incorporated 12677 Hesperia Rd Ste 130 Victorville CA 92395-7735 Ph: (760) 241-7763 |
| NPI Number | 1669782595 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 9830372358 |
|---|---|
| Medicare Enrollment ID | O20110322000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669782595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel Quijano Velasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639175490 PECOS PAC ID: 0648453167 Enrollment ID: I20110322000080 |
| Provider Name | Stephanie Marie Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982250833 PECOS PAC ID: 3173937059 Enrollment ID: I20210204002177 |
| Provider Name | Karmen A Padfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548883002 PECOS PAC ID: 9931107794 Enrollment ID: I20211117002746 |
| Provider Name | Julie M Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144828112 PECOS PAC ID: 1850781907 Enrollment ID: I20211202002941 |
| Provider Name | Noarie Iverie Magoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023778024 PECOS PAC ID: 3577904176 Enrollment ID: I20240514002457 |
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