Clemencia Rasquinha, M.D

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

60102 Issued in MN

Practice address

1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544

Phone

(763) 267-8701

Fax

(763) 231-9602

NPI assigned

Aug 15, 2006

Last updated

Dec 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Clemencia Dublin Other name

Medicare fee-for-service enrollment

Enrolled in CO, MN, SD, AZ4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bethesda

  dba Bethesda Hospice

  • Community Based Hospice Care Agency
  • Willmar, MN
  • NPI 1528770781

  Contracted Managing Employee

  CMS ownership
• Inter-Faith Care Center

  • Skilled Nursing Facility
  • Carlton, MN
  • NPI 1134125644

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• New Hope Operator LLC

  • Skilled Nursing Facility
  • New Hope, MN
  • NPI 1194571604

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• North Ridge Skilled, LLC

  dba North Ridge Health and Rehab

  • Skilled Nursing Facility
  • New Hope, MN
  • NPI 1881689628

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Plains Geriatrics LLC

  • Multi-Specialty Clinic/Center
  • Hill City, SD
  • NPI 1710582903
  Medicare reassignment NPD
• Aicota Health Care Center, Inc.

  • Skilled Nursing Facility
  • Aitkin, MN
  • NPI 1467456822
  NPD (past)
• Aitkin Health Services

  • Skilled Nursing Facility
  • Aitkin, MN
  • NPI 1245270750
  NPD (past)
• Cura of Sandstone LLC

  dba Cura of Sandstone

  • Skilled Nursing Facility
  • Sandstone, MN
  • NPI 1649273087
  NPD (past)
• Estates at Delano LLC

  • Skilled Nursing Facility
  • Delano, MN
  • NPI 1144768615
  NPD (past)
• Estates at Linden LLC

  • Skilled Nursing Facility
  • Stillwater, MN
  • NPI 1598203069
  NPD (past)
• Estates at St Louis Park LLC

  • Skilled Nursing Facility
  • St Louis Park, MN
  • NPI 1689112153
  NPD (past)
• Forest Health Services Inc.

  dba Cornerstone Villa

  • Skilled Nursing Facility
  • Buhl, MN
  • NPI 1346393642
  NPD (past)
• Inter-Faith Care Center

  • Skilled Nursing Facility
  • Carlton, MN
  • NPI 1134125644
  NPD (past)
• Lutheran Home Belle Plaine, LLC

  dba The Lutheran Home

  • Skilled Nursing Facility
  • Belle Plaine, MN
  • NPI 1336272210
  NPD (past)
• Meeker Manor Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Litchfield, MN
  • NPI 1750737276
  NPD (past)
• New Hope Operator LLC

  • Skilled Nursing Facility
  • New Hope, MN
  • NPI 1194571604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1023021409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LILAC DR N STE 190",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224544",
            "telephone_number": "763-267-8701",
            "fax_number": "763-231-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LILAC DR N STE 190",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224544",
            "telephone_number": "763-267-8701",
            "fax_number": "763-231-9602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 McIntyre St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804037445",
            "country_code": "US",
            "telephone_number": "720-434-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASQUINHA",
        "first_name": "CLEMENCIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "60102",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "60102",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "40773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56229216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEMENCIA",
            "last_name": "DUBLIN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Darcel Marie Rainville, PTA
• Cristy Ramos, M.S., CCC-SLP
• Sara B Ranssi, LICSW
• Andria Nancy Ratliff
• Edward Ratner, MD
• Joyce Lynn Ratner, LICSW
• Rebecca Ratzlaff
• Loyle D Raymond, DDS

• Geriatric Medicine (Family Medicine) Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Geriatric Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.