Al Jose Quintana, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20123 Issued in CA

Practice address

900 E Washington St
Suite 200
Colton, CA 92324-7111

Phone

(909) 882-5867

Fax

(909) 503-1913

NPI assigned

Jan 8, 2009

Last updated

Oct 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Desert Medical CorporationGroup PAC ID 6103730569, 58 clinicians

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702
  Medicare reassignment Care Compare group
• Vvipa Medical Group Inc

  dba Heritage Victor Valley Medical Group

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001
  Medicare reassignment Care Compare group
• We Heart Urgent Care Inc

  • Urgent Care Clinic/Center
  • Hesperia, CA
  • NPI 1427585918
  NPD Authorized official
• Southern California Emergency Medicine

  • Urgent Care Clinic/Center
  • San Bernardino, CA
  • NPI 1639314255
  Medicare reassignment
• Southern California Emergency Medicine

  dba Riverside Urgent Care La Sierra

  • Urgent Care Clinic/Center
  • Riverside, CA
  • NPI 1063191575
  NPD
• Southern California Emergency Medicine

  dba Moreno Beach Urgent Care Center

  • Urgent Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1518380765
  NPD
• California Physician Consultants, PC

  • Orthopaedic Surgery Physician
  • Mission Viejo, CA
  • NPI 1013231893
  NPD (past)
• Kenneth V. Miselis, M.D. Inc.

  dba Heritage Eye Associates

  • Specialist
  • Stockton, CA
  • NPI 1962413740
  NPD (past)
• Orthopedic Hospitalists of Oxnard PC

  • Orthopaedic Surgery Physician
  • Oxnard, CA
  • NPI 1942454442
  NPD (past)

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1740427012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044815",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923247111",
            "telephone_number": "909-882-5867",
            "fax_number": "909-503-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "AL",
        "middle_name": "JOSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PA20123",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Quiamco
• Filemon Recto Quinio Jr., MD
• Alexiana Narcisse Quinones
• Gerardo Quinones Sr.
• Geronimo Quinones
• Angelica Quintana, PA-C
• Walter Quintanilla
• Josephine Quintero, APCC, AMFT
• Kaley Quintero
• Erlene Winona Quintos-Pham, M.A.

• Physician Assistant in Colton, CA
• Providers in Colton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.