Active NPI
Michael Quinn, M.D.
- Diagnostic Radiology Physician
- Pasadena, CA
National Provider Identifier
1578535134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G26030
- Practice address
- 654 Linda Vista Ave
Pasadena, CA 91105-1145 - Phone
- (626) 755-7054
- Fax
- (626) 642-0383
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G26030 | CA | Primary |
Addresses
Primary practice location
654 Linda Vista Ave
Pasadena, CA 91105-1145
Mailing address
654 Linda Vista Ave
Pasadena, CA 91105-1145
Phone (626) 755-7054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G260300 | Medicaid | CA |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Diagnostic Imaging Center a Medical Corporation | Diagnostic Radiology | 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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Glendora, CA
- NPI 1396737474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1578535134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 LINDA VISTA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051145",
"telephone_number": "626-755-7054",
"fax_number": "626-426-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 LINDA VISTA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911051145",
"telephone_number": "626-755-7054",
"fax_number": "626-642-0383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G26030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G260300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.