Jaime A Quejada, DMD,MS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DDS35196 Issued in CA

Practice address

1205 W Vista Way
Vista, CA 92083-6227

Phone

(760) 941-5051

Fax

(888) 228-5701

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1306947429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUMED OFFICE OF THE MEDICAL INSPECTOR GENERAL",
            "address_2": "7700 ARLINGTON BLVD., STE 5134",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220425134",
            "telephone_number": "202-288-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836227",
            "telephone_number": "760-941-5051",
            "fax_number": "888-228-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEJADA",
        "first_name": "JAIME",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS35196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "33-0820906",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC35196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qualitycare Medical Center Inc.
• Qualitycare Medical Center, Inc., a California Professional Corporatio
• Queen Bee Fluff & Fold LLC
• Queens Manor 2 Inc.
• Queens Manor Home Care Inc.
• Erin C Quinn, NPF
• Elma Samantha Quintero, LCSW
• Vanessa Elizabeth Quiroz, NP
• Cheyenne Rohit Rabadia
• Rabbit Hole Therapy

• Oral & Maxillofacial Surgery (D.M.D.) in Vista, CA
• Providers in Vista, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.