Quyen T Despas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18627 Issued in CA

Practice address

14575 Main St
Hesperia, CA 92345-3322

Phone

(760) 947-0727

Fax

(760) 947-6219

NPI assigned

Mar 13, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: quyendespas@derhdopc.allscriptsdirect.net

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.

• Q & M Physician Medical Corporation

  • Urgent Care Clinic/Center
  • San Bernardino, CA
  • NPI 1114531035
  NPD Authorized official
• Unicare Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1639066491
  Medicare reassignment
• Unicare Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington Park, CA
  • NPI 1871484618
  NPD
• Eric R. Hansen, D.O., Professional Corporation

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1912025958
  NPD (past)
• Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1952311953
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1154454908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453322",
            "telephone_number": "760-947-0727",
            "fax_number": "760-947-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453322",
            "telephone_number": "760-947-0727",
            "fax_number": "760-947-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAS",
        "first_name": "QUYEN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Family Practice Assocoiates Medical Group Inc
• Desert Preciouscargo Inc.
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.
• Desert-Hi
• Marisa Didonato, OTR/L
• Erica Dillon, LVN
• Marina Dimucci, RDHAP
• Steven James Dombrady, DDS
• Edith Dominguez

• Physician Assistant in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.