Active NPI
Blanca Quinones
- Clinical Child & Adolescent Psychologist
- Hesperia, CA
National Provider Identifier
1104080324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 16377 Main St
Suite C
Hesperia, CA 92345-3567 - Phone
- (760) 244-4818
- Fax
- (760) 244-8099
- NPI assigned
- Jul 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
16377 Main St
Suite C
Hesperia, CA 92345-3567
Mailing address
16377 Main St
Suite C
Hesperia, CA 92345-3567
Phone (760) 244-4818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104080324 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Solution Counseling Center | Past | Accepting new patients |
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.
-
- Marriage & Family Therapist
- Hesperia, CA
- NPI 1477971810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1104080324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16377 MAIN ST",
"address_2": "SUITE C",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453567",
"telephone_number": "760-244-4818",
"fax_number": "760-244-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16377 MAIN ST",
"address_2": "SUITE C",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453567",
"telephone_number": "760-244-4818",
"fax_number": "760-244-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "BLANCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104080324",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.