Provider Demographics
NPI:1861430449
Name:VELARDE, CLAUDIA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:MARIA
Last Name:VELARDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17207 JASMINE ST
Mailing Address - Street 2:#2
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8322
Mailing Address - Country:US
Mailing Address - Phone:760-780-4179
Mailing Address - Fax:760-241-4591
Practice Address - Street 1:1220 W 24TH ST STE 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8705
Practice Address - Country:US
Practice Address - Phone:928-329-8331
Practice Address - Fax:928-329-8528
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC55547207RN0300X
AZ35920207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ131658Medicaid
H91321Medicare UPIN
CAGQ343ZMedicare PIN
AZ131658Medicaid