NPIMap

Organization Active NPI

Sana Johnson-Quijada, M.D., Inc.

  • Psychiatry Physician
  • Murrieta, CA
National Provider Identifier
1174821912
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A70270 Issued in CA
Legal business name
SANA JOHNSON-QUIJADA, M.D., INC.
Practice address
28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402
Phone
(951) 514-1234
Fax
(951) 672-3999
NPI assigned
Mar 3, 2011
Last updated
Oct 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Sana L. Johnson-Quijada, M.D.NPI 1194882860
Title
Owner
Phone
(951) 514-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A70270 CA Primary

Addresses

Primary practice location

28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402

Mailing address

28078 Baxter Rd
Suite 228
Murrieta, CA 92563-1402
Phone (951) 514-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041124000511 CA Part B Supplier - Clinic/Group Practice 9537124904 Receives reassigned benefits from 4 practitioners
Practice locations: Temecula, CA

National Provider Directory

National Provider Directory

Locations

27720 Jefferson Ave
Ste 100A
Temecula, CA 92590
Phone (951) 699-2777

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1174821912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 228",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-514-1234",
            "fax_number": "951-672-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 228",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-514-1234",
            "fax_number": "951-672-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA JOHNSON-QUIJADA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-QUIJADA",
        "authorized_official_first_name": "SANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-514-1234",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A70270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.