Organization Active NPI

Eva S. Quiroz, M.D., Inc.

  • Infectious Disease Physician
  • Fremont, CA
National Provider Identifier
1619035797
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G86961 Issued in CA
Legal business name
EVA S. QUIROZ, M.D., INC.
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 402-3424
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Eva S Quiroz, M.D.
Title
President
Phone
(510) 790-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X G86961 CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

1028 Avila Terraza
Fremont, CA 94538-4601
Phone (510) 790-2897

Other identifiers 2

IdentifierTypeStateIssuer
00G869610OtherCABLUESHIELD OF CA PIN
00G869610MedicaidCA

National Provider Directory

National Provider Directory

Locations

39022 Presidio Way
Fremont, CA 94538
Phone (510) 792-3743

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1619035797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 AVILA TERRAZA",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384601",
            "telephone_number": "510-790-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-402-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA S. QUIROZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-790-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G86961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF CA PIN",
            "identifier": "00G869610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G869610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.