Racquel S Quema MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A105596 Issued in CA

Legal business name

RACQUEL S QUEMA MD INC

Practice address

421 E Angeleno Ave Ste 105
Burbank, CA 91501-2286

Phone

(818) 900-2301

Fax

(818) 900-2471

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Racquel S Quema, MDNPI 1033369467

Title

Business Owner

Phone

(818) 900-2301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Racquel S Quema, M.D.

  • Family Medicine Physician
  • Burbank, CA
  • NPI 1033369467
  Medicare reassignment NPD Authorized official
• Louella Peckson, MD

  • Pediatrics Physician
  • Van Nuys, CA
  • NPI 1467540021
  NPD (past)

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1881139178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-900-2301",
            "fax_number": "818-009-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ANGELENO AVE STE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012286",
            "telephone_number": "818-900-2301",
            "fax_number": "818-900-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACQUEL S QUEMA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "QUEMA",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "818-900-2301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.