Active NPI
Susan Quartarone, PSY.D.
- Clinical Psychologist
- Corona, CA
National Provider Identifier
1053544965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27225
- Practice address
- 4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624 - Phone
- (858) 279-1223
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27225 | CA | Primary |
| Psychologist | 103T00000X |
Addresses
Primary practice location
4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624
Mailing address
4160 Temescal Canyon Rd Ste 205
Corona, CA 92883-4624
Other practice location 1
1215 W West Covina Pkwy
West Covina, CA 91790-2815
Phone (626) 974-0770
Other names 1
- Dr. Susan Chavarela
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15635 Alton Pkwy
Suite 350
Irvine, CA 92618-7333
Phone (949) 528-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27225 | CA | MD | Clinical Psychologist |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Irvine, CA
- NPI 1174945554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1053544965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD STE 205",
"city": "CORONA",
"state": "CA",
"postal_code": "928834624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 TEMESCAL CANYON RD STE 205",
"city": "CORONA",
"state": "CA",
"postal_code": "928834624",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [
{
"address_1": "1215 W West Covina Pkwy",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902815",
"country_code": "US",
"telephone_number": "626-974-0770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUARTARONE",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27225",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "CHAVARELA",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.