Active NPI
Keith Bradley Quattrocchi, MD, PHD, FACS
- Neurological Surgery Physician
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G58571
- Practice address
- 140 B St
Suite 5
Davis, CA 95616-4653 - Phone
- (530) 401-0643
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G58571 | CA | Primary |
Addresses
Primary practice location
140 B St
Suite 5
Davis, CA 95616-4653
Mailing address
140 B St
Suite 5
Davis, CA 95616-4653
Phone (530) 401-0643
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- George Washington University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 W Willow Ave
Suite 202
Visalia, CA 93291-6238
Phone (559) 624-6570
Hospital & facility affiliations
- Kaweah Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58571 | CA | MD | Neurological Surgery Physician |
| 58571 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Center Neurorestoration Associates Inc., a Professional Corporation | Neurological Surgery | Current | Accepting new patients |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Nsi Consulting, Inc. | Neurological Surgery | Past | Accepting new patients |
| University of California San Francisco | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| University of North Carolina | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Locations
1000 N Mooney Blvd
Tulare, CA 93274
Phone (559) 624-6358
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
202 W Willow Ave
Ste 202
Visalia, CA 93291
Phone (559) 334-0181
805 W Acequia Ave
Ste 2C
Visalia, CA 93291
Phone (559) 202-0282
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
180 E Antelope Ave
Woodlake, CA 93286
Phone (559) 564-1800
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
- Neurological Surgery Physician
- Visalia, CA
- NPI 1689226722
-
- Neurological Surgery Physician
- Davis, CA
- NPI 1245514488
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1447016050
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1558752683
-
- Rural Health Clinic/Center
- Exeter, CA
- NPI 1043272172
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1790881118
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1730180910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 B ST",
"address_2": "SUITE 5",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164653",
"telephone_number": "530-401-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 B ST",
"address_2": "SUITE 5",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164653",
"telephone_number": "530-401-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUATTROCCHI",
"first_name": "KEITH",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "MD, PHD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G58571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.