Individual provider Active NPI

Sarah Quintos, FNP

  • Family Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1417342544
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002477 Issued in CA
Practice address
103 Bodin Cir
Fairfield, CA 94535-1801
Phone
(707) 437-1933
NPI assigned
Apr 6, 2015
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002477 CA Primary
Registered Nurse 163W00000X 843219 CA

Addresses

Primary practice location

103 Bodin Cir
Fairfield, CA 94535-1801

Mailing address

103 Bodin Cir
Fairfield, CA 94535-1801
Phone (707) 437-1933

Other practice location 1

151 E Webster St
Colusa, CA 95932-2949
Phone (530) 458-5821

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
I20251008002512 CA Order and Referring Only - Nurse Practitioner 1355654146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
843219CAMDRegistered Nurse
95002477CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1417342544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 E Webster St",
            "address_purpose": "LOCATION",
            "city": "Colusa",
            "state": "CA",
            "postal_code": "959322949",
            "country_code": "US",
            "telephone_number": "530-458-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTOS",
        "first_name": "SARAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002477",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "843219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.