Jorge Antonio Quel, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

A24556 Issued in CA

Practice address

4644 Lincoln Blvd Ste 410
Marina del Rey, CA 90292-6390

Phone

(310) 823-6766

Fax

(310) 823-6966

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Allergy/Immunology

Education

Other, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Allergy Asthma Sinus Medical Center

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Marina del Rey, CA
  • NPI 1083857742
  Medicare reassignment NPD Authorized official
• Brotman Medical Center, Inc.

  • Skilled Nursing Facility
  • Culver City, CA
  • NPI 1518997733
  NPD (past)
• Prime Healthcare Centinela, LLC

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244
  NPD (past)
• Providence Health System - Southern California

  • Psychiatric Hospital Unit
  • San Pedro, CA
  • NPI 1154349371
  NPD (past)
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• Regents Univ of Calif Los Angeles

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• Southern California Healthcare System, Inc

  • Psychiatric Hospital Unit
  • Culver City, CA
  • NPI 1487905725
  NPD (past)
• The Regents of the University of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700915311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD STE 410",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926390",
            "telephone_number": "310-823-6766",
            "fax_number": "310-823-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD STE 410",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926390",
            "telephone_number": "310-823-6766",
            "fax_number": "310-823-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEL",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A24556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSURE",
            "identifier": "A24556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Andrew Pugh, DPT
• Moorea Pugliese, PMHNP-BC
• Pure Bodywork
• Uwanda Purnell
• Annemarie Quadrino
• Linda Quesada-Schlein, LMFT
• Ashley Quinn
• R M Deleon M D Inc
• R. Paul St. Amand, M.D., Inc.
• Leila Rad

• Allergy Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.