Andrea Quintana

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

76375 Issued in CA

Practice address

3455 Percy St
Los Angeles, CA 90023-1716

Phone

(323) 268-2100

NPI assigned

Nov 30, 2015

Sex

Female

Sole proprietor

Yes

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

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245604396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10989 BLUFFSIDE DR APT 3407",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PERCY ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231716",
            "telephone_number": "323-268-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3127 Scenic Lake Dr Apt 34",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082189",
            "country_code": "US",
            "telephone_number": "714-615-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ANDREA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "76375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syrah Quinonez
• Arnaldo Santos Quinoneza, PA-C
• Charles Arthur Quint
• Faye Antoinette Quintal-Discipulo
• Laura Michelle Quintana Gonzalez, RN
• Gabriela Quintana
• Jasmine Quintana
• Kelly Quintana, M.A., MFTI
• Salvador Quintana
• Sofia Quintana, MS

• Rehabilitation Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.