Derek Quan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95015979 Issued in CA

Practice address

3110 E Guasti Rd
Ontario, CA 91761-1219

Phone

(858) 592-2000

NPI assigned

Dec 10, 2020

Last updated

Mar 3, 2023By the provider in NPPES

Sex

Male

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

Enrolled in CA

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seasons Medical Group of California IncorporatedGroup PAC ID 9234405952, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Seasons Medical Group of California Incorporated

  dba AccentCare Medical Group of California

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1790239473
  Medicare reassignment Care Compare group NPD
• Seasons Hospice & Palliative Care of California- San Bernardino, LLC

  dba AccentCare Hospice & Palliative Care of California -San Bernardino

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1336408848
  NPD (past)
• Seasons Hospice & Palliative Care of California- San Diego, LLC

  dba AccentCare Hospice & Palliative Care of California -San Diego

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1457688954
  NPD (past)
• Seasons Hospice & Palliative Care of California, LLC

  dba AccentCare Hospice & Palliative Care of California -Los Angeles

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1538332101
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1508462862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 E GUASTI RD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611219",
            "telephone_number": "858-592-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "DEREK",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Purnell
• Quality Medical Supply
• Qualityambitions
• Sandra Nicole Quam, BCBA
• Yolanda Quam, M.D.
• Wilbur Quan, PHARM.D
• Kwame Quansah
• Eden Deann-Marie Quarker
• Yvonne Leticia Quesada, LCSW
• Esmeralda Quezada

• Family Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.

Verify at the official NPI Registry.