Active NPI
Federico G Quevedo, M.D.
- Obstetrics & Gynecology Physician
- Sherman Oaks, CA
National Provider Identifier
1407038037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A 23416
- Practice address
- 14340 Chandler Blvd
#204
Sherman Oaks, CA 91401-5520 - Phone
- (818) 995-3674
- NPI assigned
- Dec 5, 2007
- Last updated
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A 23416 | CA | Primary |
Addresses
Primary practice location
14340 Chandler Blvd
#204
Sherman Oaks, CA 91401-5520
Mailing address
14340 Chandler Blvd
#204
Sherman Oaks, CA 91401-5520
Phone (818) 995-3674
Other names 1
- Frederic G Quevedo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 23416 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artis Woodward MD Inc | Past | Accepting new patients | |
| CHI Imaging Inc | Past | Accepting new patients | |
| Optimum Rehabilitation Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1407038037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14340 CHANDLER BLVD",
"address_2": "#204",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914015520",
"telephone_number": "818-995-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14340 CHANDLER BLVD",
"address_2": "#204",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914015520",
"telephone_number": "818-995-3674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVEDO",
"first_name": "FEDERICO",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A 23416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FREDERIC",
"last_name": "QUEVEDO",
"middle_name": "G",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.