Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Jillian Velasquez, PA-C

Individual provider Physician Assistant · NPI 1295405413

Nicole Jillian Velasquez, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Uc Regents, a 306-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1441 Eastlake Ave
Los Angeles, CA 90089-3733
Phone: (323) 865-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 The City Dr S, Orange, CA 92868-3201 — (800) 465-3203

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64271 (CA)

Record details

NPI number1295405413
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2021
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Uc Regents — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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