Individual provider Active NPI

Ross Talbot Quinn, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1871082602
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057229 Issued in OH
Practice address
1625 Carroll Ave
San Francisco, CA 94124-3219
Phone
(415) 822-8200
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35057229 OH Primary

Addresses

Primary practice location

1625 Carroll Ave
San Francisco, CA 94124-3219

Mailing address

17100B Bear Valley Rd # 540
Victorville, CA 92395-5851
Phone (330) 284-1095

Other practice location 1

12719 2nd Ave
Victorville, CA 92395-9071
Phone (330) 284-1095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057229OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1871082602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100B BEAR VALLEY RD # 540",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955851",
            "telephone_number": "330-284-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CARROLL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243219",
            "telephone_number": "415-822-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12719 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923959071",
            "country_code": "US",
            "telephone_number": "330-284-1095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ROSS",
        "middle_name": "TALBOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.