Todd Alexander Quackenbush, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A127285 Issued in CA

Practice address

1110 S Ben Maddox Way Ste B
Visalia, CA 93292

Phone

(559) 624-4800

Fax

(559) 635-6100

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Uniformed Services Uhs Fe Hebert School of Med, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Medical Associates IncGroup PAC ID 6103156591, 13 clinicians

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
• Adventist Health Home Care Services Home health agency, Hanford, CA, CCN 057477
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: toddquackenbush@vmchealth.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.

• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment Care Compare group NPD
• Key Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1770144974
  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Rheumatology Physician
  • Hanford, CA
  • NPI 1457711442
  NPD
• Kaweah Delta Health Care Inc

  dba Kaweah Health Medical Group

  • General Practice Physician
  • Visalia, CA
  • NPI 1619353042
  NPD
• Visalia Medical Clinic, Inc.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1780631432
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaweah Delta Health Care District

  dba Kaweah Health Medical Center

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation
• Kaweah Delta Health Care District

  dba Kaweah Health Home Health

  • Home Health Agency
  • Visalia, CA
  • NPI 1790746378
  Care Compare affiliation
• Western Health Resources

  dba Adventist Health Home Care Services

  • Home Health Agency
  • Hanford, CA
  • NPI 1033397336
  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1194704122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918222",
            "telephone_number": "559-738-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S BEN MADDOX WAY STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93292",
            "telephone_number": "559-624-4800",
            "fax_number": "559-635-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USNH Okinawa",
            "address_2": "PSC 482",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96362",
            "country_code": "US",
            "telephone_number": "315-643-7703",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "QUACKENBUSH",
        "first_name": "TODD",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27130",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psynergy Programs, Inc. (Psynergy Visalia B)
• Psynergy Programs, Inc. (Vista - TLC)
• Shirley Pua, M.D.
• Purple Van Medical Transport
• Ashley Nicole Purvis, MPSS-HDTVPG
• Quail Park Retirement Village LLC
• Quality Home Services Medical Corporation
• Debbie Qualls, A021990216
• Rosemary Quan
• Carlos Quevedo

• Family Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.