Individual provider Active NPI

Qurieno Deguchy Jr., MD

  • Vascular & Interventional Radiology Physician
  • Carmichael, CA
National Provider Identifier
1053754671
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A145262 Issued in CA
Practice address
6305 Coyle Ave
Carmichael, CA 95608-0438
Phone
(916) 535-2000
Fax
(916) 408-8000
NPI assigned
Apr 12, 2013
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A145262 CA Primary

Addresses

Primary practice location

6305 Coyle Ave
Carmichael, CA 95608-0438

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20200520003632 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840621108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of California, Davis School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1050 Iron Point Rd
Folsom, CA 95630-8013
Phone (916) 986-5230

107 Margaret LN
Grass Valley, CA 95945-5211
Phone (530) 247-9623

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 668-2600

2110 Professional Dr
Roseville, CA 95661-3779

2330 W Covell Blvd
Davis, CA 95616-5658
Phone (530) 666-1631

2528 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 528-6100

2580 Sister Mary Columba Dr
Suite 200
Red Bluff, CA 96080-4327
Phone (530) 528-6150

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (916) 535-2000

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

6555 Coyle Ave
Carmichael, CA 95608-0302

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

9394 Big Horn Blvd
Elk Grove, CA 95758-7977
Phone (916) 691-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145262CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jul 17, 2024 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 17, 2024 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6511 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5470

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

Organizations & group practices 8

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 5

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1053754671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080438",
            "telephone_number": "916-535-2000",
            "fax_number": "916-408-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUCHY",
        "first_name": "QURIENO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A145262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.