Jason E. Quicho, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53258 Issued in CA

Practice address

930 Cole St
Ste 102
San Francisco, CA 94117-4366

Phone

(415) 964-4789

Fax

(415) 965-7930

NPI assigned

May 2, 2016

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

Electronic endpoints 1

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

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jquicho19351@smch.direct-ci.com

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group
• County of San Mateo

  dba San Mateo Medical Center

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580
  Medicare reassignment NPD
• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment
• Alameda Health System

  dba Hayward Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Hayward, CA
  • NPI 1023219821
  NPD
• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• County of San Mateo

  dba Shasta

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of San Mateo

  dba San Mateo Medical Center

  • General Acute Care Hospital
  • San Mateo, CA
  • NPI 1003985755
  Care Compare affiliation
• County of San Mateo

  dba Daly City Youth Hlth Ctr

  • Federally Qualified Health Center (FQHC)
  • Daly City, CA
  • NPI 1023196011

  Hospital

  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • Daly City, CA
  • NPI 1265522619

  Hospital

  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • General Acute Care Hospital
  • San Mateo, CA
  • NPI 1386713030
  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • Redwood City, CA
  • NPI 1386728533

  Hospital

  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • Redwood City, CA
  • NPI 1568540557

  Hospital

  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • South San Francisco, CA
  • NPI 1750460671

  Hospital

  Care Compare affiliation
• County of San Mateo

  dba San Mateo Medical Center

  • Federally Qualified Health Center (FQHC)
  • Half Moon Bay, CA
  • NPI 1841379765

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1518312156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 COLE ST",
            "address_2": "STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174366",
            "telephone_number": "415-964-4789",
            "fax_number": "415-965-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICHO",
        "first_name": "JASON",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1600 Owens St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quest Family Psychotherapy, PC (Quest Family Therapy)
• Sylvestre G Quevedo, MD
• Jorge Emilio Quezada Liuti, M.D.
• Vanessa Quezada, PHARM.D.
• Jessica Quiane, RN
• William M Quick, MD
• Gina Clauna Quidilig, SUD APPRENTICES
• Robert Quiggle, RN
• Peter Joseph Quigley, DC
• Sarah Quigley, IBCLC

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.