Victor Manuel Quinones, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19472 Issued in CA

Practice address

3742 Whittier Blvd
Los Angeles, CA 90023-1704

Phone

(323) 780-4100

Fax

(323) 780-4110

NPI assigned

Nov 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Clinica Santa Marta Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1366699027
  NPD Authorized official
• Milagro Community Care

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1306698055
  NPD Authorized official
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment
• Clinica Santa Marta Medical Group

  dba Clinica Santa Marta

  • Non-Pharmacy Dispensing Site
  • Los Angeles, CA
  • NPI 1417380254
  NPD
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093934986
  NPD (past)

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1376724518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90023",
            "telephone_number": "323-780-4100",
            "fax_number": "323-780-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231704",
            "telephone_number": "323-780-4100",
            "fax_number": "323-780-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA19472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PA19472",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla E Quinones
• Luis Andre Quinones, MSW
• Mary Quinones
• Michelle Veronica Quinones
• Valeria Yanira Quinones
• Angela Quinonez
• Cindy Stephanie Quinonez, LCSW
• Esmeralda Caroline Quinonez
• Eva Quinonez, AMFT
• Inez Quinonez

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.