Juan Carlos Quiros MD a Professional Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A45774 Issued in CA

Legal business name

JUAN CARLOS QUIROS MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

1735 W Romneya Dr
Anaheim, CA 92801-1804

Phone

(714) 591-0456

Fax

(888) 508-0709

NPI assigned

Dec 21, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Quiros, M.D.NPI 1689679607

Title

President

Phone

(714) 591-0456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GU2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Carlos Quiros, M.D.

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1689679607

  GU

  Medicare reassignment Authorized official
• Sarah Kiggins, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1477118255
  NPD (past)

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023354982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N EUCLID ST",
            "address_2": "#628",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014639",
            "telephone_number": "714-591-0456",
            "fax_number": "714-591-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-591-0456",
            "fax_number": "888-508-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W La Palma Ave",
            "address_2": "#101",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928012815",
            "country_code": "US",
            "telephone_number": "714-591-0456",
            "fax_number": "714-591-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUAN CARLOS QUIROS MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "QUIROS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-591-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.