Individual provider Active NPI

Robyn Quinn, FNP-BC

  • Family Nurse Practitioner
  • Lake Forest, CA
National Provider Identifier
1154101988
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021253 Issued in CA
Practice address
29100 Portola Pkwy Ste B
Lake Forest, CA 92630-8713
Phone
(949) 431-0780
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5021253 CA Primary

Addresses

Primary practice location

29100 Portola Pkwy Ste B
Lake Forest, CA 92630-8713

Mailing address

30902 Clubhouse Dr Unit 20C
Laguna Niguel, CA 92677-2391
Phone (951) 454-8146

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000071 CA Practitioner - Nurse Practitioner 3779935762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Southern California Keck School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5021253CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portola Medical Services PC CurrentSince Nov 26, 2023 Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

Locations

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

Interoperability endpoints

  • Direct secure messaging: robyn.quinn.1@15000.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1154101988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30902 CLUBHOUSE DR UNIT 20C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772391",
            "telephone_number": "951-454-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 PORTOLA PKWY STE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308713",
            "telephone_number": "949-431-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ROBYN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "5021253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.