Individual provider Active NPI

Quang Ho, RN

  • Registered Nurse
  • Royal Oak, MI
National Provider Identifier
1427700780
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704319450 Issued in MI
Practice address
3215 N Altadena Ave
Royal Oak, MI 48073-3557
Phone
(616) 990-1841
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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 4704319450 MI
Registered Nurse 163W00000X 4704319450 MI Primary

Addresses

Primary practice location

3215 N Altadena Ave
Royal Oak, MI 48073-3557

Mailing address

3215 N Altadena Ave
Royal Oak, MI 48073-3557
Phone (616) 990-1841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230321001526 MI Practitioner - Nurse Practitioner 7012381742 Reassigns benefits to 1 organization
I20240916002718 CA Practitioner - Nurse Practitioner 7012381742 Reassigns benefits to 2 organizations
I20241007001402 SC Practitioner - Nurse Practitioner 7012381742 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704319450MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 10, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Molina Care Connections, LLC. CurrentSince Apr 10, 2023 Accepting new patients
Molina Healthcare of California CurrentSince Sep 4, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: qho764667@direct.hfhs.org
  • Direct secure messaging: qho14392@direct-prd.molinahealthcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1427700780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 N ALTADENA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733557",
            "telephone_number": "616-990-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 N ALTADENA AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733557",
            "telephone_number": "616-990-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "QUANG",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704319450",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704319450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.