Individual provider Active NPI

Quincy Tremayne Woods, DNP, MSO, MSN, FNP,

  • Family Nurse Practitioner
  • Hemet, CA
National Provider Identifier
1356963276
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014410 Issued in CA
Practice address
2569 W Florida Ave # 2569
Hemet, CA 92545-4615
Phone
(519) 253-6359
Fax
(951) 925-0014
NPI assigned
May 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 95182457 CA
Family Nurse Practitioner 363LF0000X 95014410 CA Primary

Addresses

Primary practice location

2569 W Florida Ave # 2569
Hemet, CA 92545-4615

Mailing address

2569 W Florida Ave
Hemet, CA 92545-4615
Phone (951) 925-3635

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419001351 CA Practitioner - Nurse Practitioner 1355716622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95182457CAMDAddiction (Substance Use Disorder) Registered Nurse
95014410CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The DO Doctors Current Accepting new patients
David Perz, DO Inc. CurrentSince Dec 16, 2022 Accepting new patients

Locations

903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100

2591 W Florida Ave
Hemet, CA 92545
Phone (951) 766-4329

2569 W Florida Ave
Hemet, CA 92545
Phone (951) 765-9000

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.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1356963276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454615",
            "telephone_number": "951-925-3635",
            "fax_number": "951-925-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 W FLORIDA AVE # 2569",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454615",
            "telephone_number": "519-253-6359",
            "fax_number": "951-925-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "QUINCY",
        "middle_name": "TREMAYNE",
        "name_prefix": "Dr.",
        "credential": "DNP, MSO, MSN, FNP,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "95182457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.