Samuel Jason Quinones

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11517 15TH Ave
Lemoore, CA 93245-9508

Phone

(559) 380-0800

NPI assigned

Dec 22, 2021

Last updated

Dec 22, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Champions Recovery Alternative Programs, Inc.

  dba Samuel's House

  • Substance Abuse Rehabilitation Facility
  • Lemoore, CA
  • NPI 1255797155
  NPD

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1558021154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 E BEECH AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932921360",
            "telephone_number": "415-580-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 15TH AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459508",
            "telephone_number": "559-380-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "SAMUEL",
        "middle_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Powell
• Heather Lynn Pratt, NP
• Brent Privett, P.T.
• Hannah Elizabeth Douglas Puentes
• Selina Quair-Martinez
• Karmell Rafisolyman, D.D.S.
• Carmen Isabel Ramirez
• Paz Graciela Rangel, MASSAGE THERAPIST
• Gracie M Reed
• Reedley Community Hospital (Adventist Health Reedley - Lemoore)

• Case Manager/Care Coordinator in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.