Individual provider Active NPI

Carlos Joaquin Gonzalez Quesada, MD, MPH, FACC, FSCAI

  • Interventional Cardiology Physician
  • Beverly Hills, CA
National Provider Identifier
1356635478
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A128997 Issued in CA
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

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920002124 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 9830321942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Harvard Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Medical Group of Southern CaliforniaGroup PAC ID 5294727574, 11 clinicians

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 Home health agency, Los Angeles, CA, CCN 058049
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
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

LicenseStateTypeSpecialty
128997CAMDClinical Social Worker
A128997CAMDInternal Medicine Physician
261106MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medical Group of Southern California Cardiovascular Disease CurrentSince Aug 31, 2020 Accepting new patients
Carlos Quesada MD Inc Cardiovascular Disease CurrentSince Jan 1, 2026 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

  • Direct secure messaging: cgonzalezquesada217839@direct.cshs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.