Individual provider Active NPI

Quint Skipton, P.A.-C

  • Physician Assistant
  • Fullerton, CA
National Provider Identifier
1043379985
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14713 Issued in CA
Practice address
301 W Bastanchury Rd
Suite 210
Fullerton, CA 92835-3419
Phone
(714) 879-9936
Fax
(714) 879-3035
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14713 CA Primary

Addresses

Primary practice location

301 W Bastanchury Rd
Suite 210
Fullerton, CA 92835-3419

Mailing address

3851 Katella Ave
Ste 105
Los Alamitos, CA 90720-3389
Phone (562) 799-3330

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000078 CA Practitioner - Physician Assistant 1355500190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Practice addresses (Care Compare)

3851 Katella Ave
Suite 105
Los Alamitos, CA 90720-3309

3851 Katella Ave
Suite 105
Los Alamitos, CA 90720-3389
Phone (562) 799-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Martin H. Kay, PH. D. MD a Medical Corporation Past Accepting new patients
Advanced Skincare Medcenter Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1043379985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "STE 105",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203389",
            "telephone_number": "562-799-3330",
            "fax_number": "562-799-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY RD",
            "address_2": "SUITE 210",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353419",
            "telephone_number": "714-879-9936",
            "fax_number": "714-879-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPTON",
        "first_name": "QUINT",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.