John Quigley
Individual provider Active NPI Physician Assistant · Downey, CA
NPI 1306235247 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1306235247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 018365 (NY)
- Practice address
- 11500 Brookshire Ave
Downey, CA 90241-4917 - Phone
- (775) 364-0533
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Napa Valley Emergency Medical Group
Practice addresses (Care Compare)
1000 Trancas St
Napa, CA 94558-2906
Phone (707) 257-4014
Hospital & facility affiliations
- Providence Queen of the Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916001052 | CA | Practitioner - Physician Assistant | 0547581795 | Reassigns benefits to 6 organizations |
| I20151119001109 | NV | Practitioner - Physician Assistant | 0547581795 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018365 | NY | MD | Speech-Language Pathologist |
| 52270 | CA | MD | Physician Assistant |
| 11825 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Valley Emergency Medical Group | Current |
Accepting new patients | |
| Eds-I Homansky Practices of Nevada PC | Physician Assistant | Current |
Accepting new patients |
| Mt Grant General Hospital | Current |
Accepting new patients | |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| Chanukya Dasari MD a Professional Corporation | Current |
Accepting new patients | |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| Advanced Care Emergency Services, PLLC | Past | Accepting new patients | |
| Premier Emergency Physicians of California Medical Group PC | Physician Assistant | Past | Accepting new patients |
| Rainbow Basin Emergency Physicians, a Medical Corporation | Physician Assistant | Past | Accepting new patients |
| Carefirst Urgent Care, LLC | Past |
Accepting new patients |
Locations
1840 N Hacienda Blvd
Ste 12
La Puente, CA 91744
Phone (626) 541-0021
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
710 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 528-6478
3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500
Interoperability endpoints
- jquigley10408@direct.umcsn.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018365 | NY | Yes |
| Physician Assistant | 363A00000X | 52270 | CA | |
| Physician Assistant | 363A00000X | 11825 | MN |
Addresses
Primary practice location
11500 Brookshire Ave
Downey, CA 90241-4917
Mailing address
561 Keystone Ave
#414
Reno, NV 89503-4304
Other providers in Downey, CA
- Brian Quan
- Suzanne M Quardt
- Quest Diagnostics Incorporated
- Adrian R Quezada
- Marco A Quezada
- Alexis Marie Quihuiz
- Aura Yap Quinsay
- Joseph Quinsay
- Carla R Quintero
- Savannah Quintero
All providers in Downey, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.