Michael Quezada

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132737 Issued in CA

Practice address

720 Sunrise Ave Ste 212D
Roseville, CA 95661-4514

Phone

(530) 264-8804

NPI assigned

Sep 4, 2024

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1508691205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 S WHITNEY BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772653",
            "telephone_number": "916-607-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUNRISE AVE STE 212D",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614514",
            "telephone_number": "530-264-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Medical-Roseville, PC
• Meghan Brooke Quallick
• Nyah Naakordei Quaye
• Alexandra Queiroz, RN IBCLC
• Allison Quesnell Boman
• Benjamin Angelo Deriada Quiamco, M.D.
• Nathan Kyle Criseno Quintana, DC
• Leila Renee Quintero
• Susan Caraminda Quinto
• Evelyn Lizeth Quiroz Valladares

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.