Active NPI
Carlos Joaquin Gonzalez Quesada, MD, MPH, FACC, FSCAI
- Interventional Cardiology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A128997
- Practice address
- 414 N Camden Dr Ste 1100
Beverly Hills, CA 90210-4517 - Phone
- (713) 254-9880
- Fax
- (888) 299-8621
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A128997 | CA | |
| Internal Medicine Physician | 207R00000X | 261106 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | A128997 | CA | |
| Interventional Cardiology Physician | 207RI0011X | 62315 | MN | |
| Interventional Cardiology Physician | 207RI0011X | A128997 | CA | Primary |
Addresses
Primary practice location
414 N Camden Dr Ste 1100
Beverly Hills, CA 90210-4517
Mailing address
6260 W 3Rd St Apt 430
Los Angeles, CA 90036-7611
Phone (713) 254-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Harvard Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
414 N Camden Dr
Suite 1100
Beverly Hills, CA 90210-4517
Phone (310) 278-3400
9301 Wilshire Blvd
Suite 507
Beverly Hills, CA 90210-6150
Phone (310) 424-5750
Hospital & facility affiliations
- Epic Homecare Inc
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.29 of 100
- Quality
- 78.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128997 | CA | MD | Clinical Social Worker |
| A128997 | CA | MD | Internal Medicine Physician |
| 261106 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Medical Group of Southern California | Cardiovascular Disease | Current | Accepting new patients |
| Carlos Quesada MD Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
9301 Wilshire Blvd
Ste 507
Beverly Hills, CA 90210
Phone (310) 424-5750
414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 278-3400
8635 W 3rd St
Ste 1190W
Los Angeles, CA 90048
Phone (310) 652-4600
Interoperability endpoints
- cgonzalezquesada217839@direct.cshs.org
- cgonzalezquesada356058@ehrdirect.mayoclinicmsg.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Beverly Hills, CA
- NPI 1427063908
-
- Cardiovascular Disease Physician
- Beverly Hills, CA
- NPI 1508730201
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Los Angeles, CA
- NPI 1235136177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1356635478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6260 W 3RD ST APT 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900367611",
"telephone_number": "713-254-9880",
"fax_number": "888-299-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N CAMDEN DR STE 1100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104517",
"telephone_number": "713-254-9880",
"fax_number": "888-299-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ QUESADA",
"first_name": "CARLOS",
"middle_name": "JOAQUIN",
"name_prefix": "Dr.",
"credential": "MD, MPH, FACC, FSCAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A128997",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "261106",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A128997",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MN",
"license": "62315",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A128997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.