MIRIAM A VELAZQUEZ (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1063919249
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,583 PATHOLOGY in CA
Provider Addresses for MIRIAM A VELAZQUEZ (DO)
999 SAN BERNARDINO RD
UPLAND, CA 917864920
Phone: (909) 981-2811
Type: Mailing
6431 FANNIN ST STE MSB 2136
HOUSTON, TX 770301501
Phone: (713) 500-4472
Type: Mailing
20001 S RANCHO WAY
RANCHO DOMINGUEZ, CA 902206318
Phone: (310) 225-3221
Fax: (310) 698-7040
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240821004307 | I | Pathology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91786)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | CA | |
| - | CA | |
| - | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA | |
| P A T H O L O G Y | CA |
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