Individual provider Active NPI

Juan Carlos Quiros, M.D.

  • Cardiovascular Disease Physician
  • Anaheim, CA
National Provider Identifier
1689679607
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A45774 Issued in CA
Practice address
1735 W Romneya Dr
Anaheim, CA 92801-1804
Phone
(714) 591-0456
Fax
(888) 508-0709
NPI assigned
Jun 16, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A45774 CA Primary

Addresses

Primary practice location

1735 W Romneya Dr
Anaheim, CA 92801-1804

Mailing address

675 N. Euclid Street
#628
Anaheim, CA 92801
Phone (714) 808-9797

Other practice location 1

1211 W. La Palma Ave.
Suite 101
Anaheim, CA 92801
Phone (714) 591-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GU, MP3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080609000893 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587734082 Reassigns benefits to 2 organizations
I20131108000959 GU Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4587734082 Reassigns benefits to 4 organizations
I20201001002509 MP Practitioner - Cardiovascular Disease (Cardiology) 4587734082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takecare Insurance Company IncGroup PAC ID 8325951239, 28 clinicians
Pacific Cardiology Consultants LLCGroup PAC ID 0547417131, 6 clinicians

Practice addresses (Care Compare)

1771 W Romneya Dr
Suite a
Anaheim, CA 92801-1817
Phone (714) 591-0456

548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825

633 Gov Carlos G Camacho Rd
Suite 202
Tamuning, GU 96913-3195
Phone (671) 649-1001

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
58.33
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiology Consultants LLC Cardiovascular Disease CurrentSince Sep 18, 2013 Accepting new patients
Southern Inyo Healthcare District CurrentSince Feb 28, 2023 Accepting new patients
Guam Memorial Hospital CurrentSince Feb 24, 2021 Accepting new patients
Sagan Hinemlo' Family Clinic, LLC CurrentSince May 6, 2020 Accepting new patients
Southern Inyo Healthcare District Current Accepting new patients
Guam Memorial Hospital CurrentSince Feb 24, 2021 Accepting new patients
Takecare Insurance Company Inc. CurrentSince Mar 3, 2018 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
The Doctors Clinic Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

633 Gov Carlos G Camacho Rd
Ste 202
Tamuning, GU 96913
Phone (671) 646-0443

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcq110pcs@m1782.primeclinicalsystems.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689679607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N. EUCLID STREET",
            "address_2": "#628",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-808-9797",
            "fax_number": "714-808-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-591-0456",
            "fax_number": "888-508-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 W. La Palma Ave.",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92801",
            "country_code": "US",
            "telephone_number": "714-591-0456",
            "fax_number": "714-591-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIROS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A45774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.