Individual provider Active NPI

Gloria Quillope, RN

  • Administrator Registered Nurse
  • El Cajon, CA
National Provider Identifier
1306464003
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
290946 Issued in CA
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

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
290946CAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
California Homes for Seniors, Inc. CurrentSince Oct 10, 2021 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.

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.

Verify at the official NPI Registry.