Active NPI
Quiclinics Medical Partners
- Community Health Clinic/Center
- Lynwood, CA
National Provider Identifier
1679083182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- QUICLINICS MEDICAL PARTNERS
- Practice address
- 3620 Martin Luther King Jr Blvd
Lynwood, CA 90262-2607 - Phone
- (949) 786-2004
- NPI assigned
- Oct 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay F Lamothe Jr.
- Title
- General Manager
- Phone
- (949) 293-7072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | CA | Primary |
Addresses
Primary practice location
3620 Martin Luther King Jr Blvd
Lynwood, CA 90262-2607
Mailing address
5319 University Dr
Irvine, CA 92612-2965
Phone (949) 293-7072
Other names 1
- Quiclinics Medical Partners
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221212002641 | CA | Part B Supplier - Clinic/Group Practice | 4284003369 |
Receives reassigned benefits from 1 practitioner Practice locations: Lynwood, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Quiclinics Medical Partners
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Long Beach, CA
- NPI 1295205482
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1306316591
-
- Ambulatory Family Planning Facility
- San Bernardino, CA
- NPI 1609592252
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1922876291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665792000000",
"number": "1679083182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 UNIVERSITY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122965",
"telephone_number": "949-293-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 MARTIN LUTHER KING JR BLVD",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622607",
"telephone_number": "949-786-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICLINICS MEDICAL PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-10",
"last_updated": "2022-10-15",
"certification_date": "2022-10-15",
"status": "A",
"authorized_official_last_name": "LAMOTHE",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "949-293-7072",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quiclinics Medical Partners",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.