Individual provider Active NPI

Roderic N Quinto, MS

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1457834855
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
116573 Issued in CA
Practice address
24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone
(951) 677-5599
NPI assigned
Sep 11, 2018
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 116573 CA Primary

Addresses

Primary practice location

24275 Jefferson Ave
Murrieta, CA 92562-7285

Mailing address

24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone (951) 677-5599

Other practice location 1

29748 Rancho California Rd
Temecula, CA 92591-5286
Phone (951) 252-9911

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123004702 CA Practitioner - Marriage and Family Therapist 3173975331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novell and Novell CounselingGroup PAC ID 1951686336, 11 clinicians

Practice addresses (Care Compare)

29748 Rancho California Rd
Temecula, CA 92591-5286
Phone (951) 694-0695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Novell & Novell Counseling Marriage & Family Therapist CurrentSince Jan 10, 2024 Accepting new patients
Novell & Novell Counseling Services, Inc. Marriage & Family Therapist PastSince Jan 10, 2024 Accepting new patients

Locations

29748 Rancho California Rd
Temecula, CA 92591
Phone (951) 252-9911

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1457834855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24275 JEFFERSON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627285",
            "telephone_number": "951-677-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24275 JEFFERSON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627285",
            "telephone_number": "951-677-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29748 Rancho California Rd",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915286",
            "country_code": "US",
            "telephone_number": "951-252-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTO",
        "first_name": "RODERIC",
        "middle_name": "N",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "116573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.