Individual provider Active NPI

James William Quinones, PA-C

  • Physician Assistant
  • Baldwin Park, CA
National Provider Identifier
1467576421
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 12379 Issued in CA
Practice address
14514 Ramona Blvd
Suite 3
Baldwin Park, CA 91706-3305
Phone
(626) 337-0424
Fax
(626) 813-9095
NPI assigned
Mar 16, 2007
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 12379 CA Primary
Pediatrics Physician 208000000X PA12379 CA

Addresses

Primary practice location

14514 Ramona Blvd
Suite 3
Baldwin Park, CA 91706-3305

Mailing address

14514 Ramona Boulvevard
Suite 3
Baldwinpark, CA 91706
Phone (626) 337-0424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12379CAMDMental Health Counselor
PA12379CAMDPediatrics Physician
PA 12379CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Care Foundation PastSince Jan 1, 2024 Accepting new patients
Jose D Berganza, M.D Inc Pediatrics PastSince Oct 1, 2005 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1467576421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BOULVEVARD",
            "address_2": "SUITE 3",
            "city": "BALDWINPARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-337-0424",
            "fax_number": "626-813-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BLVD",
            "address_2": "SUITE 3",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063305",
            "telephone_number": "626-337-0424",
            "fax_number": "626-813-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 12379",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "PA12379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.