Jack Querequincia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JACK QUEREQUINCIA

Doing business as

Simi Medical Equipment

Practice address

2375 Sycamore Dr
Suite 4
Simi Valley, CA 93065-2787

Phone

(805) 581-5905

Fax

(805) 581-1478

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Jack Daniel Querequincia

Title

Owner

Phone

(805) 581-5905

Specialties & licenses 1

Addresses

Other names 1

• Simi Medical Equipment Doing business as

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376544114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 SYCAMORE DR",
            "address_2": "SUITE 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652787",
            "telephone_number": "805-581-5905",
            "fax_number": "805-581-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 SYCAMORE DR",
            "address_2": "SUITE 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652787",
            "telephone_number": "805-581-5905",
            "fax_number": "805-581-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK QUEREQUINCIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEREQUINCIA",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-581-5905"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simi Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krishna Iyer, PHARM.D
• Maziar Izadi, DDS
• J.Y. Tokuyama, D.D.S. and L.E. Hansen, D.D.S., a Professional Corporat
• Jaayda Ellingham
• Toni Jacalone, MS, RDN
• Allison Rian Jackson, LMFT
• Christopher Luke Jackson, RN
• Julia Jackson
• Beth Jakubanis, LCSW
• Yousuf Jalala

• Durable Medical Equipment & Medical Supplies in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.