Quality Care Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

QUALITY CARE CLINIC INC

Practice address

10040 Bruceville Rd
Suite 160
Elk Grove, CA 95757-9502

Phone

(916) 706-0416

Fax

(916) 706-0458

NPI assigned

Feb 11, 2014

Organization subpart

No

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

Authorized official

Name

Sandra Odiase, DNP, FNP

Title

Vice President

Phone

(916) 479-1332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1114341146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 BRUCEVILLE RD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579502",
            "telephone_number": "916-706-0416",
            "fax_number": "916-706-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 BRUCEVILLE RD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957579502",
            "telephone_number": "916-706-0416",
            "fax_number": "916-706-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ODIASE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-479-1332",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonnice Puryear
• Fatima Qaderi
• Manizha Qaderi
• Sodaba Qaderi
• Tehmina Qari
• Steven Quan
• Jaelyn Tajai Quarels
• Aubry Dee Quarles
• Neilofer Quassani
• James Bryan Quattlebaum, DDS

• Primary Care Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.