Adam Baldueza Quezon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49079 Issued in CA

Practice address

110 41St St
Oakland, CA 94611-5250

Phone

(510) 596-2600

NPI assigned

Feb 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1790241503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 26TH AVE APT 5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011739",
            "telephone_number": "805-415-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 41ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115250",
            "telephone_number": "510-596-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZON",
        "first_name": "ADAM",
        "middle_name": "BALDUEZA",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quest Education Center (Heaven's Court Health Agency)
• Quest Nursing Health Clinic
• Quest Programs, Inc. (S.T.E.P.S.)
• Jessica Quezada
• Susana Quezada
• Bryon D. Quick, MD
• Graham Quigley, L.AC.
• Jeremiah Thomas Tandez Quilantang
• Chasity Quiliza
• Nolan P Quinabo, PT

• Physical Therapy Assistant in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.