Individual provider Active NPI

Patricia Quintana Van Horne, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1780690693
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72198 Issued in CA
Practice address
1570 E. Herndon
Fresno, CA 93720
Phone
(559) 437-7380
Fax
(559) 437-7162
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G72198 CA Primary

Addresses

Primary practice location

1570 E. Herndon
Fresno, CA 93720

Mailing address

P.O. Box 28900
Fresno, CA 93729
Phone (559) 228-4205

Other identifiers 1

IdentifierTypeStateIssuer
G72198OtherLICENSE #

Other names 1

  • Patricia Quintana Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000478 CA Practitioner - Family Practice 8527161611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2335 E Kashian LN
Suite 450
Fresno, CA 93701-2234
Phone (559) 233-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Community Foundation Medical Group CurrentSince Jan 1, 2013 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

275 W Herndon Ave
Clovis, CA 93612
Phone (559) 321-4255

2335 E Kashian Ln
Ste 450
Fresno, CA 93701
Phone (559) 233-7700

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1570 E Herndon Ave
Fresno, CA 93720
Phone (559) 437-7300

48677 Victoria Ln
Oakhurst, CA 93644
Phone (559) 683-2711

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780690693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 28900",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93729",
            "telephone_number": "559-228-4205",
            "fax_number": "559-228-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E. HERNDON",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-437-7380",
            "fax_number": "559-437-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA VAN HORNE",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "G72198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "QUINTANA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.