Active NPI
Judith Quiroz
- Community Health Worker
- Commerce, CA
National Provider Identifier
1821147018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5555 Ferguson Dr
Commerce, CA 90022-5133 - Phone
- (213) 334-1375
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
5555 Ferguson Dr
Commerce, CA 90022-5133
Mailing address
5555 Ferguson Dr
Commerce, CA 90022-5133
Phone (213) 334-1375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522428 | Other | CA | COMMUNITY WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1821147018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 FERGUSON DR",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225133",
"telephone_number": "213-334-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 FERGUSON DR",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225133",
"telephone_number": "213-334-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIROZ",
"first_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY WORKER",
"identifier": "522428",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.