Demetrio Ortiz Quismorio Jr., PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14870 Issued in CA

Practice address

341 Magnolia Ave
Suite 101
Corona, CA 92879-3330

Phone

(951) 735-6060

Fax

(951) 735-4510

NPI assigned

Aug 10, 2006

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 2

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corona Orthopaedic Associates Medical Group IncGroup PAC ID 0547243586, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

Merit-based Incentive Payment System (MIPS)

Final score

77.87 of 100Reported as group

Quality

46.3

Improvement activities

40

Cost

81.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dquismorio182092@direct.llu.edu

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.

• Corona Orthopaedic Associates Medical Group Inc

  • Orthopaedic Surgery Physician
  • Corona, CA
  • NPI 1598872657
  Medicare reassignment Care Compare group
• Uhs Corona Inc

  • Rehabilitation Hospital Unit
  • Corona, CA
  • NPI 1255327920
  NPD (past)
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1760493191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-735-6060",
            "fax_number": "951-735-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE",
            "address_2": "SUITE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793330",
            "telephone_number": "951-735-6060",
            "fax_number": "951-735-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUISMORIO",
        "first_name": "DEMETRIO",
        "middle_name": "ORTIZ",
        "name_suffix": "Jr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0PA148700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970008971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Qubba, M.D.
• Brandon Quesada
• Jasmine Quiambao
• Dulce Sinahi Quintanilla
• Brian Quirante, PHARMD
• R. Patel DDS & S. Patel DDS, a Dental Corporation
• Traci Raby
• Radiant Path Therapy and Psychiatry Medical Corporation
• Margaret Caridad Radomski, HAD
• Maryam Rahimi, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.