Cynthia Amy Quan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A62624 Issued in CA

Practice address

5601 Norris Canyon Rd
Suite 230
San Ramon, CA 94583-5407

Phone

(925) 277-7550

Fax

(925) 277-7555

NPI assigned

Mar 21, 2006

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

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

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.

• LPCH Medical Group Div of Lucile

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  CA, Pediatrics

  Medicare reassignment NPD
• Bayside Medical Group, Inc

  • Pediatrics Physician
  • Pleasanton, CA
  • NPI 1689633240

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1659330249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "B-125",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2505",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD",
            "address_2": "SUITE 230",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835407",
            "telephone_number": "925-277-7550",
            "fax_number": "925-277-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "CYNTHIA",
        "middle_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A62624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pulling, M.D.
• Roxanne Puno, CCC-SLP
• Sue Ristow Putnam, O.D.
• Medina Saffa Qasemi
• Ammar Qoubaitary, M.D.
• Maria C Quan, MD
• Jennifer Anne Queirolo
• Alexa Quesnel, RBT
• Quest Therapeutic Camps, Inc.
• Leah Evangelista Quimson, PT

• Pediatrics Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.