Dr. Audrey Marie Vasquez Veloso
Hospitalist

Address: 2 W Fern Ave, Redlands, CA 92373-5916
Phone: 9097933311

Dr. Audrey Marie Vasquez Veloso (NPI# 1033416557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033416557
Entity Type Individual
Full Name Dr. Audrey Marie Vasquez Veloso
Credential M.D.
Gender Female
Practice Address 2 W Fern Ave
Redlands
CA 92373-5916
Practice Telephone 9097933311
Mailing Address Po Box 10069
San Bernardino
CA 92423-0069
Mailing Telephone 9093354188
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-02-18
Last Update Date 2018-09-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians C155474 CA

Physician Overview

NPI 1033416557
PAC ID by PECOS 6608046776
Professional Enrollment ID I20110826000717
Full Name Audrey Marie Vasquez Veloso
Organization Legal Name ATHENS REGIONAL SPECIALTY SERVICES, INC.
Phone Number 7064751700
Gender F
Graduation Year 2004
Primary Specialty HOSPITALIST
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 8325162340
Number of Group Practice Members 104
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050272 REDLANDS COMMUNITY HOSPITAL
110074 PIEDMONT ATHENS REGIONAL MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 99%

Office Location

Street Address 2 W FERN AVE
City REDLANDS
State CA
Zip Code 92373-5916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124022538 David Burnham Surgery 2 W Fern Ave, Redlands, CA 92373-5916 2005-06-13
1619482718 Agnes Arorong Esteva Hospitalist 2 W Fern Ave, Redlands, CA 92373 2017-12-12
1578075867 Lisa Gilbert Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2017-10-26
1013426154 Madison Tucker Zagurski Physician Assistant 2 W Fern Ave, Redlands, CA 92373-5916 2017-09-20
1083066062 Joni Magat Pharmacist 2 W Fern Ave, Redlands, CA 92373-5916 2016-07-01
1093162562 Cynthia Rojas Physician Assistant 2 W Fern Ave, Redlands, CA 92373 2016-05-15
1740660778 Mina Girgis Ragheb Student in an Organized Health Care Education/Training Program 2 W Fern Ave, Redlands, CA 92373-5916 2015-06-04
1033504568 Madeline Deutsch Hospitalist 2 W Fern Ave, Redlands, CA 92373 2015-04-01
1104218486 Erin Cooke Physician Assistant 2 W Fern Ave, Redlands, CA 92373-5916 2015-02-24
1982009007 Nkeiruka Ihunna Maureen Abanobi Nurse Practitioner 2 W Fern Ave, Redlands, CA 92373-5916 2014-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144705369 Monica Unique Ellis-blied Psychologist 26001 Redlands Blvd Mailstop #116a, Va Loma Linda C/o Dr. Monica Ellis-blied, Redlands, CA 92373 2018-10-03
1033604103 John Duane Wuchenich Anesthesiology 451 Summit Avenue, Redlands, CA 92373 2018-06-29
1013401074 Adept Hospice Care Hospice Care, Community Based 515 New Jersey St., Suite G, Redlands, CA 92373 2018-06-21
1134616121 Rodrigo Robles Student in an Organized Health Care Education/Training Program 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 2018-04-16
1760987614 Redlands Endodontics Dentist 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 2018-03-23
1487164166 Tyler Stafford Behavior Analyst 1467 Ford St. Suite 104, Redlands, CA 92373 2017-10-06
1083131486 Shannon Palmowski Behavior Analyst Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 2017-08-25
1083130132 Kezia A Hatfield Marriage & Family Therapist 12 Nevada St Ste B, Redlands, CA 92373 2017-08-21
1306375761 Victoria Nicole Shaw Case Manager/Care Coordinator 101 E. Redlands Blvd. Suite 215, Redlands, CA 92373 2017-06-08
1275062622 Erim Sarbuland Marriage & Family Therapist 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 2017-06-08
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619482718 Agnes Arorong Esteva Hospitalist 2 W Fern Ave, Redlands, CA 92373 2017-12-12
1033504568 Madeline Deutsch Hospitalist 2 W Fern Ave, Redlands, CA 92373 2015-04-01
1740544493 Thai Vinh Le Hospitalist 2 W Fern Ave, Redlands, CA 92373 2012-06-27
1629382890 Dan Bich Thi Vo Hospitalist 2 W Fern Ave, Redlands, CA 92373-5916 2010-07-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871092254 Andrew Pascual Hospitalist 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 2018-02-12
1376055277 Emerald Henault Hospitalist 493 Suisse Dr, San Jose, CA 95123-4855 2017-11-01
1427410539 Vrs Enterprises LLC Hospitalist 2088 Westminster Dr, Riverside, CA 92506-5526 2016-03-28
1912378324 Huntington Specialist & Nursing Corporation Hospitalist 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 2015-10-12
1578959318 Hospitalist Group of Montebello Inc Hospitalist 817 S Main St Ste D, Corona, CA 92882-3407 2015-04-08
1336543925 Tri-minh Pham Medical Group, Inc Hospitalist 3320 Tully Rd, Modesto, CA 95350-0800 2014-10-10
1649674391 Hospitalists Associates Group Inc Hospitalist 160 W Foothill Pkwy # 105-200, Corona, CA 92882-8545 2014-10-09
1417363649 Jose Guerra, D.o., Inc. Hospitalist 16371 Ace Ln, Huntington Beach, CA 92649-2701 2014-07-09
1528488350 Arlene Bravo Hospitalist 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 2014-04-19
1780004796 Laura Chia Hospitalist 7646 Berland Ct, Cupertino, CA 95014-5079 2014-04-17
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Competitor

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City REDLANDS
Zip Code 92373

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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