Active NPI
Kathleen Quiaot
- Nursing Home Administrator
- Stockton, CA
National Provider Identifier
1174433478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 7033329735
- Practice address
- 1661 Willow Park Way
Stockton, CA 95206-4834 - Phone
- (209) 808-8140
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 7033329735 | CA | Primary |
Addresses
Primary practice location
1661 Willow Park Way
Stockton, CA 95206-4834
Mailing address
1661 Willow Park Way
Stockton, CA 95206-4834
Phone (209) 808-8140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1174433478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 WILLOW PARK WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952064834",
"telephone_number": "209-808-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 WILLOW PARK WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952064834",
"telephone_number": "209-808-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIAOT",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "7033329735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.