Juan Carlos Quiros, M.D.

Key facts

NPI

1689679607

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

A45774 (CA)

Practice address

1735 W Romneya Dr
Anaheim, CA 92801-1804

Phone

(714) 591-0456

Fax

(888) 508-0709

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 17

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.

• Pacific Cardiology Consultants LLC Interventional Cardiology Physician · Tamuning, GU · NPI 1013278936
  Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · GU
• Takecare Insurance Company Inc. Health Service Clinic/Center · Tamuning, GU · NPI 1972565240
  Medicare reassignment Care Compare group NPD GU
• Juan Carlos Quiros MD a Professional Medical Corporation Specialist · Anaheim, CA · NPI 1023354982
  Medicare reassignment Authorized official CA · GU
• Southern Inyo Healthcare District Critical Access Hospital · Lone Pine, CA · NPI 1831128602
  Medicare reassignment NPD CA
• Guam Memorial Hospital General Acute Care Hospital · Oka Tamuning, GU · NPI 1366519027
  Medicare reassignment NPD GU
• Sagan Hinemlo' Family Clinic, LLC Health Service Clinic/Center · Saipan, MP · NPI 1396017489
  Medicare reassignment NPD MP
• Takecare Insurance Company Inc Community Based Hospice Care Agency · Tamuning, GU · NPI 1497859565
  Care Compare group
• Takecare Insurance Company Inc. Home Health Agency · Tamuning, GU · NPI 1700979713
  Care Compare group
• Southern Inyo Healthcare District Rural Health Clinic/Center · Lone Pine, CA · NPI 1063589174
  NPD
• Guam Memorial Hospital Skilled Nursing Facility · Oka Tamuning, GU · NPI 1952479131
  NPD
• Anaheim Global Medical Center, Inc General Acute Care Hospital · Anaheim, CA · NPI 1790778488
  NPD (past)
• Anaheim Memorial Medical Center General Acute Care Hospital · Anaheim, CA · NPI 1295782381
  NPD (past)
• Mission Hospital Regional Medical Center Rehabilitation Hospital · Mission Viejo, CA · NPI 1003956913
  NPD (past)
• Orange Coast Memorial Medical Center General Acute Care Hospital · Fountain Valley, CA · NPI 1497702575
  NPD (past)
• Pih Health Good Samaritan Hospital General Acute Care Hospital · Los Angeles, CA · NPI 1508859323
  NPD (past)
• Saddleback Memorial Medical Center Rehabilitation Hospital Unit · Laguna Hills, CA · NPI 1114967114
  NPD (past)
• The Doctors Clinic Family Medicine Physician · Tamuning, GU · NPI 1467503433
  NPD (past)

Medicare Care Compare profile

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 Inc (28 clinicians)
Pacific Cardiology Consultants LLC (6 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.33 of 100 (group)

Quality

58.33

Improvement activities

40

Cost

76.65

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in CA, GU, MP

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles (14 of 15)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HK459Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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