Organization Active NPI

Quanwei Zhang, M.D., Inc.

  • Preferred Provider Organization
  • Victorville, CA
National Provider Identifier
1871940924
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
C54655 Issued in CA
Legal business name
QUANWEI ZHANG, M.D., INC.
Practice address
16850 Bear Valley Rd Ste B
Victorville, CA 92395-5794
Phone
(760) 493-1889
Fax
(760) 983-5092
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nena Maciel
Title
Manager
Phone
(760) 981-7452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X C54655 CA Primary

Addresses

Primary practice location

16850 Bear Valley Rd Ste B
Victorville, CA 92395-5794

Mailing address

7876 SVL Box
Victorville, CA 92395-5118
Phone (760) 981-7452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160623000651 CA Part B Supplier - Clinic/Group Practice 4284925132 Receives reassigned benefits from 1 practitioner
Practice locations: Victorville, CA

National Provider Directory

National Provider Directory

Locations

16850 Bear Valley Rd
Ste B
Victorville, CA 92395
Phone (760) 493-1889

16850 Bear Valley Rd
Ste 1
Victorville, CA 92395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871940924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7876 SVL BOX",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955118",
            "telephone_number": "760-981-7452",
            "fax_number": "760-983-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 BEAR VALLEY RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955794",
            "telephone_number": "760-493-1889",
            "fax_number": "760-983-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANWEI ZHANG, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACIEL",
        "authorized_official_first_name": "NENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-981-7452"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "C54655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.