Individual provider Active NPI

Anne Violet Quismorio, MD

  • Rheumatology Physician
  • Covina, CA
National Provider Identifier
1073740825
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A108385 Issued in CA
Practice address
500 W San Bernardino Rd
Suite a
Covina, CA 91722-3797
Phone
(626) 966-1909
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108385 CA
Rheumatology Physician 207RR0500X A108385 CA Primary

Addresses

Primary practice location

500 W San Bernardino Rd
Suite a
Covina, CA 91722-3797

Mailing address

500 W San Bernardino Rd
Suite a
Covina, CA 91722-3797

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
I20100602000766 CA Practitioner - RheumatologyPractitioner - Internal Medicine 2163551037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Huntington Medical FoundationGroup PAC ID 4587631601, 46 clinicians

Practice addresses (Care Compare)

55 E California Blvd
Suite 204
Pasadena, CA 91105-3954
Phone (626) 397-8323

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
87.72
Promoting interoperability
96
Improvement activities
40
Cost
74.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108385CAMDDentist
A108385CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

55 E California Blvd
Ste 204
Pasadena, CA 91105
Phone (626) 397-8323

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aquismorio419075@direct.cshs.org
  • Direct secure messaging: annequismorio@skmm.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1073740825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SAN BERNARDINO RD",
            "address_2": "SUITE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SAN BERNARDINO RD",
            "address_2": "SUITE A",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223797",
            "telephone_number": "626-966-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISMORIO",
        "first_name": "ANNE",
        "middle_name": "VIOLET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108385",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A108385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.