Quattro Medical Associates, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G48243 Issued in CA

Legal business name

QUATTRO MEDICAL ASSOCIATES, INC.

Practice address

1838 El Camino Real
Suite 101
Burlingame, CA 94010-3126

Phone

(415) 644-0000

Fax

(650) 952-0568

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mark Andrew Heitner, MD

Title

Ceo

Phone

(415) 044-0000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1174633663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 CAMINO PLAZA",
            "address_2": "BOX 225",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663401",
            "telephone_number": "415-644-0000",
            "fax_number": "650-952-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 101",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "415-644-0000",
            "fax_number": "650-952-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUATTRO MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "HEITNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-044-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G48243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puwra
• Grace Pyon, MD
• Patricia Quan
• Tyler Quan
• Quantum Medical Radiology of California, P.C.
• Deborah Quinn-Chen, M.D.
• Suzanne Tran Quo, O.D.
• Michael David Rabbino, M.D.
• Tiffany Radcliff, LPC, LCPC
• Dwaine Edward Radden Jr., ACSW

• Psychiatry Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.