Organization Active NPI

Quiclinics Medical Partners

  • Community Health Clinic/Center
  • Lynwood, CA
National Provider Identifier
1679083182
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
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

Updated by the provider on Oct 15, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Partners5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.