Active NPI
Quenlyn J. Larson, C.N.P. DNP
- Pediatric Nurse Practitioner
- Folsom, CA
National Provider Identifier
1518050897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP 19804
- Practice address
- 1580 Creekside Dr Ste 200
Folsom, CA 95630-3888 - Phone
- (916) 924-9337
- NPI assigned
- Oct 1, 2006
- Last updated
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN-187859 | OH | |
| Pediatric Nurse Practitioner | 363LP0200X | NP 19804 | CA | Primary |
Addresses
Primary practice location
1580 Creekside Dr Ste 200
Folsom, CA 95630-3888
Mailing address
5841 Jameson CT
Carmichael, CA 95608-0895
Phone (916) 485-9800
Other practice location 1
1580 Creekside Dr Ste 250
Folsom, CA 95630-3889
Phone (916) 983-8595
Other practice location 2
550 E Romie Lane
Suite K
Salinas, CA 93901-4072
Phone (831) 422-9066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2350254 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19804 | CA | MD | Physical Therapist |
| NP 19804 | CA | MD | Pediatric Nurse Practitioner |
| RN-187859 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Medical Associates of Sacramento Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pediatric Associates
- Pediatrics Physician
- Sacramento, CA
- NPI 1760570600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1518050897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 JAMESON CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080895",
"telephone_number": "916-485-9800",
"fax_number": "916-485-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 CREEKSIDE DR STE 200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303888",
"telephone_number": "916-924-9337"
}
],
"practiceLocations": [
{
"address_1": "1580 Creekside Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Folsom",
"state": "CA",
"postal_code": "956303889",
"country_code": "US",
"telephone_number": "916-983-8595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 E Romie Lane",
"address_2": "Suite K",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939014072",
"country_code": "US",
"telephone_number": "831-422-9066",
"fax_number": "831-422-4312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "QUENLYN",
"middle_name": "J.",
"credential": "C.N.P. DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "RN-187859",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP 19804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2350254",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.