Active NPI
Jennie Quach
- Physician Assistant
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51269
- Practice address
- 17305 Von Karman Ave Ste 101-107
Irvine, CA 92614-0963 - Phone
- (949) 679-9994
- NPI assigned
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51269 | CA | Primary |
Addresses
Primary practice location
17305 Von Karman Ave Ste 101-107
Irvine, CA 92614-0963
Mailing address
17305 Von Karman Ave Ste 107
Irvine, CA 92614-0903
Phone (949) 679-9994
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2195 Sepulveda Blvd
Torrance, CA 90501-4616
Phone (424) 337-1600
2613 Pacific Coast Hwy
Torrance, CA 90505-7037
Phone (424) 625-0220
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
28900 S Western Ave
Rancho Palos Verdes, CA 90275-0805
Phone (424) 702-0500
5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.12 of 100
- Quality
- 77.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Front Line Emergency Care Spec | Past | Accepting new patients |
Locations
7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501
4700 W Pico Blvd
Ste Gh
Los Angeles, CA 90019
Phone (323) 673-7031
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
Organizations & group practices 12
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Emergency Medicine Physician
- Burbank, CA
- NPI 1689636730
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1992178222
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1770886558
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
-
- Emergency Medicine Physician
- Torrance, CA
- NPI 1184048712
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1841679289
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1366451080
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1467883207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17305 VON KARMAN AVE STE 107",
"city": "IRVINE",
"state": "CA",
"postal_code": "926140903",
"telephone_number": "949-679-9994",
"fax_number": "949-679-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17305 VON KARMAN AVE STE 101-107",
"city": "IRVINE",
"state": "CA",
"postal_code": "926140963",
"telephone_number": "949-679-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACH",
"first_name": "JENNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-04",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.