Active NPI
Jonathan Nhut Quach, M.D
- Addiction Medicine (Internal Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- A130657
- Practice address
- 200 UCLA Medical PLZ Ste 420
Los Angeles, CA 90095-3414 - Phone
- (310) 207-0117
- Fax
- (310) 207-0119
- NPI assigned
- Apr 3, 2012
- Last updated
- May 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A130657 | CA | |
| Hospitalist Physician | 208M00000X | A130657 | CA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | A130657 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 420
Los Angeles, CA 90095-3414
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Los Angeles, CA 90095-0001
100 Medical PLZ
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922
200 Medical Plaza
Los Angeles, CA 90095-0001
200 Medical PLZ
Los Angeles, CA 90095-0001
200 UCLA Medical PLZ
Suite 165 34
Los Angeles, CA 90095-0001
Phone (310) 824-8403
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 267-9643
900 Weyburn Place
Suite 14 171
Los Angeles, CA 90095-0001
Phone (310) 825-8173
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A130657 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clare Matrix | Current | Accepting new patients | |
| Clare Matrix | Current | Accepting new patients | |
| Clare Matrix | Current | Accepting new patients | |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
| Clare Matrix | Past | Accepting new patients | |
| Clare Matrix | Past | Accepting new patients | |
| UCLA Family Practice | Past | Accepting new patients |
Locations
812 N Euclid Ave
Ontario, CA 91762
Phone (909) 395-0888
844 Pico Blvd
Santa Monica, CA 90405
Phone 3103146200 ext. 3576
2644 30th St
Ste 100
Santa Monica, CA 90405
Phone 31031462003426
Organizations & group practices 8
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.
-
dba UCLA Dept of Medicine
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1104398742
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1043537913
-
dba CLARE Foundation Inc., dba MATRIX Institute on Addictions
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1235349267
-
- Community/Behavioral Health Agency
- Santa Monica, CA
- NPI 1023520384
-
- Substance Abuse Rehabilitation Facility
- Santa Monica, CA
- NPI 1851645394
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1477511046
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1811253909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953414",
"telephone_number": "310-207-0117",
"fax_number": "310-207-0119"
}
],
"practiceLocations": [
{
"address_1": "1920 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043414",
"country_code": "US",
"telephone_number": "310-319-4700",
"fax_number": "310-453-5106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUACH",
"first_name": "JONATHAN",
"middle_name": "NHUT",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A130657",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A130657",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CA",
"license": "A130657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.