Individual provider Active NPI

Kevin Quinonez-Truong

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1063804755
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A158018 Issued in CA
Practice address
14350 Meridian Pkwy
Riverside, CA 92518-3035
Phone
(951) 827-1012
NPI assigned
Mar 4, 2015
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X A158018 CA Primary

Addresses

Primary practice location

14350 Meridian Pkwy
Riverside, CA 92518-3035

Mailing address

718 Nottingham Dr
Redlands, CA 92373-5769
Phone (714) 658-2720

Other practice location 1

525 Technology Ct Ste 105
Riverside, CA 92507-2181
Phone (951) 686-8500

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
I20220725001292 CA Practitioner - Psychiatry 9739560632 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

12291 Washington Blvd
Suite 300
Whittier, CA 90606-2549
Phone (562) 967-2840

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158018CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jul 18, 2022 Accepting new patients
Department of State Hospitals Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jul 13, 2022 Accepting new patients
Department of State Hospitals CurrentSince Jul 18, 2022 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2023 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jul 13, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 21, 2024 Accepting new patients
Olive Crest Past Accepting new patients

Locations

11411 Brookshire Ave
Ste 111
Downey, CA 90241
Phone (626) 904-1651

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

12291 Washington Blvd
Ste 300
Whittier, CA 90606
Phone (562) 945-7252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ktruong376930@direct.llu.edu

Organizations & group practices 11

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 2

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1063804755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 NOTTINGHAM DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735769",
            "telephone_number": "714-658-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 MERIDIAN PKWY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183035",
            "telephone_number": "951-827-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Ct Ste 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925072181",
            "country_code": "US",
            "telephone_number": "951-686-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONEZ-TRUONG",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A158018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.