Active NPI
Paul Murphy De Vera Quiambao, FNP-C
- Family Nurse Practitioner
- Glendale, CA
National Provider Identifier
1669236030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027951
- Practice address
- 801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433 - Phone
- (818) 630-2241
- NPI assigned
- Feb 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95027951 | CA | Primary |
Addresses
Primary practice location
801 S Chevy Chase Dr Ste 250
Glendale, CA 91205-4433
Mailing address
308 Palm CT
Carson, CA 90745-3100
Phone (310) 302-7617
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 S Chevy Chase Dr
Suite 250
Glendale, CA 91205-4433
Phone (818) 265-2264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027951 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Community Health Centers Inc | Current | Accepting new patients | |
| Comprehensive Community Health Centers, Inc | Current | Accepting new patients | |
| Comprehensive Community Health Centers Inc | Past | Accepting new patients |
Locations
801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1356362743
-
- Family Medicine Physician
- Arleta, CA
- NPI 1346951654
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1245210749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1669236030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 PALM CT",
"city": "CARSON",
"state": "CA",
"postal_code": "907453100",
"telephone_number": "310-302-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S CHEVY CHASE DR STE 250",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054433",
"telephone_number": "818-630-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIAMBAO",
"first_name": "PAUL MURPHY",
"middle_name": "DE VERA",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.