Individual provider Active NPI

Safiyya Quintiliani, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
National Provider Identifier
1649632969
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A175573 Issued in CA
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(646) 510-3702
NPI assigned
Mar 25, 2016
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A175573 CA Primary
Pulmonary Disease Physician 207RP1001X 25MA10697700 NJ

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

Desert Regional Medical Center
1150 N Indian Canyon Drive
Palm Springs, CA 92262
Phone (760) 323-7661

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.desertcarenetwork.com/locations/detail/desert-regional-medical-center Health Information Exchange (HIE)
CONNECT URL https://www.desertcarenetwork.com/locations/detail/desert-regional-medical-center

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
I20220328001742 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5890118137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates CorporationGroup PAC ID 8022196518, 8 clinicians
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175573CAMDCritical Care Medicine (Internal Medicine) Physician
25MA10697700NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1649632969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DESERT REGIONAL MEDICAL CENTER",
            "address_2": "1150 N INDIAN CANYON DRIVE",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "646-510-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTILIANI",
        "first_name": "SAFIYYA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A175573",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA10697700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.desertcarenetwork.com/locations/detail/desert-regional-medical-center",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1150 N Indian canyon dr",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.desertcarenetwork.com/locations/detail/desert-regional-medical-center",
            "affiliation": "N",
            "address_1": "1150 N Indian canyon dr",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.