KRYSTAL AMANDA VELASCO PMHNP NPI 1023983574

NPI Information

  • NPI: 1023983574
  • Provider Name: KRYSTAL AMANDA VELASCO, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 8300 UTICA AVE STE 259
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 906-1505

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NPI Details

Krystal Amanda Velasco, PMHNP is a psychiatric/mental health nurse practitioner in Rancho Cucamonga, CA. Krystal Amanda Velasco, PMHNP NPI is 1023983574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8300 UTICA AVE STE 259
RANCHO CUCAMONGA, CA
ZIP 91730-852
Phone: (909) 906-1505
Fax: (909) 906-1508

The enumeration date for this NPI number is 10/6/2025 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95037330CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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