Active NPI
Javier Quintana, MD, PHD
- Psychiatry Physician
- Palmdale, CA
National Provider Identifier
1720198666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A53465
- Practice address
- 1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038 - Phone
- (213) 219-3875
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A53465 | CA | Primary |
Addresses
Primary practice location
1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038
Mailing address
2692 Basil LN
Los Angeles, CA 90077-2006
Phone (310) 991-3711
Other practice location 1
349A E Avenue K6
Lancaster, CA 93535-4548
Phone (213) 219-3875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53465 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1720198666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 BASIL LN",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900772006",
"telephone_number": "310-991-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD STE 150",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502038",
"telephone_number": "213-219-3875"
}
],
"practiceLocations": [
{
"address_1": "349A E Avenue K6",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935354548",
"country_code": "US",
"telephone_number": "213-219-3875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANA",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2021-03-12",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A53465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.