Individual provider Active NPI

Michael Gin Quon, M.D.

  • Gastroenterology Physician
  • Newhall, CA
National Provider Identifier
1609802032
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G63134 Issued in CA
Practice address
23928 Lyons Ave
Suite 206
Newhall, CA 91321-2409
Phone
(661) 799-0615
Fax
(661) 254-3185
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G63134 CA
Gastroenterology Physician 207RG0100X G63134 CA Primary

Addresses

Primary practice location

23928 Lyons Ave
Suite 206
Newhall, CA 91321-2409

Mailing address

23928 Lyons Ave
Suite 206
Newhall, CA 91321-2409
Phone (661) 799-0615

Other identifiers 1

IdentifierTypeStateIssuer
9653125MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000594 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5597954255 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, shared by 11 NPIs, 1,426 clinicians

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

25775 McBean Pkwy
Suite 108
Valencia, CA 91355-3702
Phone (661) 255-8252

25775 W McBean Pkwy
Suite 115
Valencia, CA 91355-3702
Phone (661) 255-2420

Hospital & facility affiliations

  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy152
Upper gastrointestinal (GI) endoscopy for acid reflux174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63134CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Feb 1, 2017 Accepting new patients
The Regents of the University of California CurrentSince Mar 19, 2023 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2024 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2017 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Gastrointestinal Medical Center ASC Gastroenterology Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

4343 Lankershim Blvd
Ste 210
North Hollywood, CA 91602
Phone (818) 843-9038

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

7320 Woodlake Ave
Ste 320
West Hills, CA 91307
Phone (818) 436-7686

Interoperability endpoints

  • Direct secure messaging: mquon317401@direct.uclahealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1609802032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE",
            "address_2": "SUITE 206",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212409",
            "telephone_number": "661-799-0615",
            "fax_number": "661-254-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE",
            "address_2": "SUITE 206",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212409",
            "telephone_number": "661-799-0615",
            "fax_number": "661-254-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUON",
        "first_name": "MICHAEL",
        "middle_name": "GIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63134",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G63134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9653125",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.