Individual provider Active NPI

Erika Quinteros, PA-C

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1659004794
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA64814 Issued in CA
Practice address
6120 Seville Ave
Huntington Park, CA 90255-2911
Phone
(323) 588-8855
NPI assigned
Jul 6, 2022
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X PA64814 CA Primary

Addresses

Primary practice location

6120 Seville Ave
Huntington Park, CA 90255-2911

Mailing address

6120 Seville Ave
Huntington Park, CA 90255-2911
Phone (323) 588-8855

Other practice location 1

4700 E Compton Blvd
Compton, CA 90221-3157
Phone (323) 251-0770

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227002131 CA Practitioner - Physician Assistant 1254851744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA64814CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access for All, Inc CurrentSince Dec 22, 2024 Accepting new patients
Health Access for All, Inc CurrentSince Dec 22, 2024 Accepting new patients

Locations

6208 Seville Ave
Huntington Park, CA 90255
Phone (323) 588-8855

6120 Seville Ave
Huntington Pk, CA 90255
Phone (323) 588-3040

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1659004794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552911",
            "telephone_number": "323-588-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552911",
            "telephone_number": "323-588-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 E Compton Blvd",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902213157",
            "country_code": "US",
            "telephone_number": "323-251-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTEROS",
        "first_name": "ERIKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA64814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.