Organization Active NPI

Qualitas Health Partners, Inc.

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1346607678
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
QUALITAS HEALTH PARTNERS, INC.
Doing business as
Qualitas Medical
Practice address
8787 Complex Dr
Suite 130
San Diego, CA 92123-1419
Phone
(619) 882-3100
Fax
(858) 278-9818
NPI assigned
Jan 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Authorized official

Name
Mr. Jeffrey Scott Willmann, MHSA
Title
Co-Founder & Director
Phone
(858) 829-1921

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X
Case Management Agency 251B00000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

8787 Complex Dr
Suite 130
San Diego, CA 92123-1419

Mailing address

7660 Fay Ave
#329
La Jolla, CA 92037-0021
Phone (858) 829-1921

Other names 1

  • Qualitas Medical Doing business as

National Provider Directory

National Provider Directory

Locations

8787 Complex Dr
Ste 130
San Diego, CA 92123
Phone (619) 882-3100

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1346607678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 FAY AVE",
            "address_2": "#329",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370021",
            "telephone_number": "858-829-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 COMPLEX DR",
            "address_2": "SUITE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231419",
            "telephone_number": "619-882-3100",
            "fax_number": "858-278-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITAS HEALTH PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "WILLMANN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CO-FOUNDER & DIRECTOR",
        "authorized_official_telephone_number": "858-829-1921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualitas Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.