Jacqueline Altintas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A191289 Issued in CA

Practice address

17909 Soledad Canyon Rd
Santa Clarita, CA 91387-3210

Phone

(661) 673-8888

NPI assigned

Mar 26, 2018

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

Other names 1

• Jacqueline Quezada Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jacqueline.altintas.p1@direct.nevhc.nextgenshare.com

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.

• Northeast Valley Health Corporation

  dba Van Nuys Adult Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment NPD
• Northeast Valley Health Corporation

  dba SCV Dental and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD
• Northeast Valley Health Corporation

  dba Lac-Valencia Health Center

  • Community Health Clinic/Center
  • Valencia, CA
  • NPI 1730180118
  NPD
• Northeast Valley Health Corporation

  dba Pacoima Health Center

  • Federally Qualified Health Center (FQHC)
  • Pacoima, CA
  • NPI 1114928595
  NPD (past)
• Northeast Valley Health Corporation

  dba Transitions to Wellness-Van Nuys Health Center

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1184625568
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1629573415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17909 SOLEDAD CANYON RD FL 2",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873210",
            "telephone_number": "661-673-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17909 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873210",
            "telephone_number": "661-673-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTINTAS",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A191289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "QUEZADA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tahkeion L Allen
• Anasheh Almasi, MD
• Almec Medical Inc
• Kuuipo Courtney Alo
• Briana Haley Alonso
• Karina Alvarado
• Kyra Alvarenga
• Desteny Alvarez
• Edgar Alvarez
• Frank Alvarez Jr., MD

• Psychiatry Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.