Individual provider Active NPI

Racquel S Quema, M.D.

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1033369467
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105596 Issued in CA
Practice address
421 E Angeleno Ave Ste 105
Burbank, CA 91501-2286
Phone
(818) 900-2301
Fax
(818) 900-2471
NPI assigned
Sep 22, 2008
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A105596 CA Primary

Addresses

Primary practice location

421 E Angeleno Ave Ste 105
Burbank, CA 91501-2286

Mailing address

421 E Angeleno Ave Ste 105
Burbank, CA 91501-2286
Phone (818) 900-2301

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000777 CA Practitioner - Family Practice 6305020124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

421 E Angeleno Ave
Suite 105
Burbank, CA 91501-2286
Phone (818) 900-2301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Racquel S Quema MD Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
All Health Operations Inc. PastSince Mar 20, 2022 Accepting new patients

Locations

421 E Angeleno Ave
Ste 105
Burbank, CA 91501
Phone (818) 558-6707

14624 Sherman Way
Ste 401
Van Nuys, CA 91405
Phone (818) 262-4401

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Valley Home Health Care Agency, Inc.Tarzana, CA, CCN 059049 Home health agency 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Feb 11, 2021
Feb 11, 2021
At Home Health Services, Inc.Tarzana, CA, CCN 059329 Home health agency 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director (25%)
Operational/Managerial Control (25%)
Feb 11, 2021
Feb 11, 2021
Feb 11, 2021
Feb 11, 2021

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1033369467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-900-2301",
            "fax_number": "818-900-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-900-2301",
            "fax_number": "818-900-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEMA",
        "first_name": "RACQUEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.