Organization Active NPI

Abel Quesada, Apc

  • General Practice Physician
  • Vernon, CA
National Provider Identifier
1699092783
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A100315 Issued in CA
Legal business name
ABEL QUESADA, APC
Practice address
4221 S Alameda St
Vernon, CA 90058-1601
Phone
(323) 676-5111
Fax
(323) 676-5112
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Dr. Abel Quesada, M.D.
Title
Owner
Phone
(323) 676-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A100315 CA Primary

Addresses

Primary practice location

4221 S Alameda St
Vernon, CA 90058-1601

Mailing address

1125 E Broadway
#251
Glendale, CA 91205-1315
Phone (323) 676-5111

Other names 1

  • L.A. Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

4219 S Alameda St
Vernon, CA 90058
Phone (323) 676-5111

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1699092783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E BROADWAY",
            "address_2": "#251",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051315",
            "telephone_number": "323-676-5111",
            "fax_number": "323-676-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S ALAMEDA ST",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900581601",
            "telephone_number": "323-676-5111",
            "fax_number": "323-676-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEL QUESADA, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "QUESADA",
        "authorized_official_first_name": "ABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-676-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A100315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.