JENNIFER BARBARA VELIZ (PA-C) – Physician Assistant, NPI 1104833672

JENNIFER BARBARA VELIZ (PA-C) is a healthcare provider. based in Sacramento, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA18345 (CA). The NPI Number for JENNIFER BARBARA VELIZ (PA-C) is 1104833672

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BARBARA VELIZ (PA-C)
NPI
1104833672
Phone
(800) 470-0071
Address
10470 OLD PLACERVILLE RD
Enumeration Date
1 August 2006
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076511000
Graduation Year
2005 (21 years ago)
PAC ID
1254337421
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20061011000223
Address ID
CA945892441VA975XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for JENNIFER BARBARA VELIZ (PA-C)

  • 10470, Old Placerville Road, Mather, Rancho Cordova, Sacramento County, California, 95827, United States

    SUITE 100

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    Type: Mailing

  • 2702, Low Court, Fairfield, Solano County, California, 94534, United States

    FAIRFIELD, CA 945349771

    Phone: (707) 432-2600

    Fax: (707) 432-2651

    Type: Location

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: 2006-10-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061011000223IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 95827)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What identifier follows JENNIFER BARBARA VELIZ (PA-C) across health systems?
The NPI 1104833672 uniquely identifies JENNIFER BARBARA VELIZ (PA-C) in U.S. healthcare data.
Does the public listing show JENNIFER BARBARA VELIZ (PA-C) as active?
JENNIFER BARBARA VELIZ (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret JENNIFER BARBARA VELIZ (PA-C)'s specialty?
The extract shows Physician Assistant for JENNIFER BARBARA VELIZ (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER BARBARA VELIZ (PA-C)?
JENNIFER BARBARA VELIZ (PA-C) shows a connection to Sacramento, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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