Active NPI
Gloria Quillope, RN
- Administrator Registered Nurse
- El Cajon, CA
National Provider Identifier
1306464003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 290946
- Practice address
- 1061 E Bradley Ave
El Cajon, CA 92021-1232 - Phone
- (619) 448-2870
- Fax
- (619) 449-4200
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 290946 | CA | Primary |
Addresses
Primary practice location
1061 E Bradley Ave
El Cajon, CA 92021-1232
Mailing address
PO Box 1201
Bonita, CA 91908-1201
Phone (619) 962-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290946 | CA | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Homes for Seniors, Inc. | Current | Accepting new patients |
Locations
1061 E Bradley Ave
El Cajon, CA 92021
Phone (619) 448-2870
Organizations & group practices 1
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.
-
- Assisted Living Facility
- El Cajon, CA
- NPI 1285306613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1306464003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1201",
"city": "BONITA",
"state": "CA",
"postal_code": "919081201",
"telephone_number": "619-962-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 E BRADLEY AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920211232",
"telephone_number": "619-448-2870",
"fax_number": "619-449-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLOPE",
"first_name": "GLORIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "290946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.