Miguel Angel Quiroz, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95026547 Issued in CA

Practice address

3030 W Olympic Blvd Ste 217
Los Angeles, CA 90006-6507

Phone

(213) 550-2159

NPI assigned

Oct 19, 2023

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Addis Medical Group a Medical CorporationGroup PAC ID 0941463335, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Addis Medical Group a Medical Corporation

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1013289339
  Medicare reassignment Care Compare group NPD
• Eugene Rosenman MD la Center for Behavioral Health PC

  dba LA Center for Behavioral Health

  • Psychiatry Physician
  • Winnetka, CA
  • NPI 1184436651
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1023890308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 MARLBOROUGH AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021614",
            "telephone_number": "310-237-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD STE 217",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066507",
            "telephone_number": "213-550-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Quiroz
• Heidi Salmai Quiroz
• Isai Quiroz
• Joe Quiroz
• Margarita Quiroz
• Francisco P. Quismorio Jr., M.D.
• Eleanore Quisquino
• Ariel Kathryne Quist Sprawls
• Diana M Quitasol, RDN
• Brenda Sau Kit Quon, MD

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.