Annie Quintana Vega, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95030395 Issued in CA

Practice address

301 S Glendora Ave Unit 1347
West Covina, CA 91790-5903

Phone

(786) 603-9792

NPI assigned

Jun 6, 2024

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Wellnext Management LLC

  • Family Medicine Physician
  • Simi Valley, CA
  • NPI 1306662689
  Medicare reassignment NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1518708015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GLENDORA AVE UNIT 1347",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905903",
            "telephone_number": "786-603-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GLENDORA AVE UNIT 1347",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905903",
            "telephone_number": "786-603-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA VEGA",
        "first_name": "ANNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Quiamas, DO
• Liana Desiree Quijada
• Celina Quimiro
• Ashley Brianne Quinones
• Cameron Quinones
• Kiarrah Quintero
• Sherlyn Dayanara Quintero
• Marlene Rey Quinto, DMD
• Paul Quinto, D.D.S.
• R Galvan DMD Inc

• Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.