Amy Lizeth Quiroz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110738 Issued in CA

Practice address

3100 Huntington Dr
San Marino, CA 91108-2238

Phone

(626) 299-7080

NPI assigned

Aug 29, 2018

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1205318094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 HOLLY AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065327",
            "telephone_number": "626-962-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082238",
            "telephone_number": "626-299-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "AMY",
        "middle_name": "LIZETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hunter Pritchett, AMFT
• Rubio Reyes Punzalan, M.D.
• Annabelle Pusag
• Py Saddler, M.D., F.a.C.P., Inc
• Timothy J Pylko, M.D.
• Radiological Associates Medical Group, Inc
• Radiological Associates Medical Group, Inc
• Regency Therapy Resources
• David D. Richardson, M.D.
• Robert a. Mecum, M.D., Inc.

• Clinical Social Worker in San Marino, CA
• Providers in San Marino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.