Alfred Micheal Quintana, CPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

2365 Harrison Ave
Eureka, CA 95501-3216

Phone

(707) 445-3111

Fax

(707) 442-8792

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Coastal Orthotic and Prosthetic Services, Inc

  • Prosthetic/Orthotic Supplier
  • Eureka, CA
  • NPI 1457533531
  NPD (past) Authorized official
• Motionhealth

  • Primary Care Clinic/Center
  • Eureka, CA
  • NPI 1205384260
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255420774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013216",
            "telephone_number": "707-445-3111",
            "fax_number": "707-442-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013216",
            "telephone_number": "707-445-3111",
            "fax_number": "707-442-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "ALFRED",
        "middle_name": "MICHEAL",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GXC000320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Page Quackenbush
• Sara Leslie Quenell, DPO
• Kierstan D Quigley
• Sheryl Ann Quigley, RN
• Brooke Elise Hallum Quinlan, L.C.S.W.
• Rachel Donohue MD PC
• Sandy Radic-Oshiro, MA SCHOOL PSYCHOLOGY
• Ma Nina Bardago Raganas
• Leyla Rahimi, DDS
• Maykenzey Raines

• Prosthetics Case Management in Eureka, CA
• Providers in Eureka, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.