Individual provider Active NPI

Nichole Amber Quick, M.D.

  • Public Health & General Preventive Medicine Physician
  • Buena Park, CA
National Provider Identifier
1265695811
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
A109598 Issued in CA
Practice address
7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668
Phone
(714) 527-6551
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X A109598 CA
Public Health & General Preventive Medicine Physician 2083P0901X 8185054-1205 UT
Public Health & General Preventive Medicine Physician 2083P0901X A109598 CA Primary

Addresses

Primary practice location

7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668

Mailing address

7212 Orangethorpe Ave Ste 9a
Buena Park, CA 90621-4668

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110901000360 CA Practitioner - Addiction MedicinePractitioner - Preventive Medicine 3678743564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KCS, Inc.Group PAC ID 0446495105, shared by 6 NPIs, 16 clinicians

Practice addresses (Care Compare)

19742 Macarthur Blvd
Irvine, CA 92612-2488
Phone (714) 503-6550

451 W Lincoln Ave
Anaheim, CA 92805-2912
Phone (714) 503-6550

7212 Orangethorpe Ave
Buena Park, CA 90621-4668
Phone (714) 503-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109598CAMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
KCS, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Pamela L. Vincent, MD Corp Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

451 W Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 507-3770

8352 Commonwealth Ave
Buena Park, CA 90621
Phone 714503655036411

7212 Orangethorpe Ave
Ste 9A
Buena Park, CA 90621
Phone (714) 449-1125

19742 MacArthur Blvd
Ste 250
Irvine, CA 92612
Phone (949) 486-8530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nicole.quick.p1@direct.kcs.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1265695811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE STE 9A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE STE 9A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214668",
            "telephone_number": "714-527-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "NICHOLE",
        "middle_name": "AMBER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A109598",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "UT",
            "license": "8185054-1205",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A109598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.