Active NPI
Jennie C Quon
- Registered Dietitian
- Redwood City, CA
National Provider Identifier
1417223488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 726139
- Practice address
- 170 Alameda de Las Pulgas
Redwood City, CA 94062-2751 - Phone
- (650) 327-8888
- Fax
- (650) 269-8624
- NPI assigned
- Mar 23, 2012
- Last updated
- Mar 23, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 726139 | CA | Primary |
Addresses
Primary practice location
170 Alameda de Las Pulgas
Redwood City, CA 94062-2751
Mailing address
4151 Middlefield Rd
Suite 111
Palo Alto, CA 94303-4753
Phone (408) 887-1655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140325000190 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 8628209210 | Practice locations: San Gabriel, CA |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.05 of 100
- Quality
- 87.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726139 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- jennie.quon.p1@direct.cscla.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1417223488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 MIDDLEFIELD RD",
"address_2": "SUITE 111",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943034753",
"telephone_number": "408-887-1655",
"fax_number": "650-269-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 ALAMEDA DE LAS PULGAS",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622751",
"telephone_number": "650-327-8888",
"fax_number": "650-269-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUON",
"first_name": "JENNIE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "726139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.