Krystle Quan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15127 Issued in CA

Practice address

3251 20TH Ave Ste 231
San Francisco, CA 94132-1915

Phone

(415) 564-7785

NPI assigned

Aug 28, 2013

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kquan653184@hisp.ehr.sutterhealth.org

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.

• Mid Peninsula Eye Physicians & Surgeons Medical Group

  dba Pacific Eye Specialists

  • Ophthalmology Physician
  • San Mateo, CA
  • NPI 1407924889
  Medicare reassignment NPD
• Peninsula Ophthalmology Group, Inc.

  • Ophthalmology Physician
  • Burlingame, CA
  • NPI 1447303995
  Medicare reassignment NPD
• Golden San Francisco Optometry Inc.

  • Optometrist
  • San Francisco, CA
  • NPI 1518506955
  NPD (past)
• Pacific Eye Specialists

  • Optometrist
  • San Mateo, CA
  • NPI 1679690150
  NPD (past)
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1063846921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 20TH AVE STE 231",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321915",
            "telephone_number": "415-564-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 20TH AVE STE 231",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321915",
            "telephone_number": "415-564-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "KRYSTLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "111 Smith Ranch Rd",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949031939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Jeffrey Quan, PHARM.D.
• Ethan Ryan Quan, PT, DPT
• Frances Quan
• Jaclyn Quan
• Kristen Quan
• Lester Jay Quan, DDS
• Lillian Ann Quan, D.D.S.
• M Ming Quan, MD
• May Quan, PHARMD
• Megan Jennifer Quan, PT, DPT

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.