Individual provider Active NPI

Rubencio Quintana, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1053353953
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77939 Issued in CA
Practice address
8500 Wilshire Blvd
Suite 605
Beverly Hills, CA 90211-3121
Phone
(310) 659-5500
Fax
(310) 652-1998
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G77939 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd
Suite 605
Beverly Hills, CA 90211-3121

Mailing address

8500 Wilshire Blvd
Suite 605
Beverly Hills, CA 90211-3121
Phone (310) 659-5500

Other identifiers 1

IdentifierTypeStateIssuer
G77939OtherCALICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rubencio.Quintana@13319829716996.direct.elationemr.com

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
I20120321000819 CA Practitioner - Internal Medicine 1850567702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8500 Wilshire Blvd
Suite 605
Beverly Hills, CA 90211-3120

Hospital & facility affiliations

  • Gentle Care Home Health Services, Inc Home health agency, Woodland Hills, CA, CCN 059353
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77939CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rubencio Quintana, M.D. Inc. CurrentSince Mar 6, 2012 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Dorothy H. Lowe, M.D. a Medical Corporation PastSince Mar 6, 2012 Accepting new patients

Locations

8500 Wilshire Blvd
Ste 605
Beverly Hills, CA 90211
Phone (310) 659-5500

6310 San Vicente Blvd
Ste 510
Los Angeles, CA 90048
Phone (310) 659-7000

Interoperability endpoints

  • Direct secure messaging: rubencio.quintana@13319829716996.direct.elationemr.com

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.

Hospital & facility affiliations 4

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1053353953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "SUITE 605",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-659-5500",
            "fax_number": "310-652-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "address_2": "SUITE 605",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-659-5500",
            "fax_number": "310-652-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "RUBENCIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "G77939",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rubencio.Quintana@13319829716996.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "8500 Wilshire Blvd",
            "address_2": "Suite 605",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902113121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.