Brooke Quiddam

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

250192688 Issued in CA

Practice address

6832 Avenue 280
Visalia, CA 93277-9429

Phone

(559) 622-3236

NPI assigned

Feb 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sycamore Valley Academy

  • Local Education Agency (LEA)
  • Visalia, CA
  • NPI 1124992243
  NPD (past)

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1457204372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 AVENUE 280",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779429",
            "telephone_number": "559-622-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 AVENUE 280",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779429",
            "telephone_number": "559-622-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIDDAM",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "250192688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Quan
• Carlos Quevedo
• Catalina Quezada
• Edward Quezada, M.S.W, ACSW
• Mayra Quezada
• Kayla Quijas
• Quik Trip Transportatation LLC
• Melissa A Quill, PA-C
• Elisa Quince
• Holly Rose Quinn, MD

• Student in an Organized Health Care Education/Training Program in Visalia, CA
• Providers in Visalia, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.