Organization Active NPI

Quacinella Orthopaedics Inc

  • Orthopaedic Trauma Physician
  • San Diego, CA
National Provider Identifier
1881224160
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
Legal business name
QUACINELLA ORTHOPAEDICS INC
Practice address
4060 Fourth Ave Ste 630
San Diego, CA 92103-2118
Phone
(619) 299-3950
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Michael Quacinella, DO, MPHNPI 1962815100
Title
Ceo
Phone
(831) 239-4736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X Primary

Addresses

Primary practice location

4060 Fourth Ave Ste 630
San Diego, CA 92103-2118

Mailing address

4060 Fourth Ave Ste 630
San Diego, CA 92103-2118
Phone (831) 239-4736

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519000884 CA Part B Supplier - Clinic/Group Practice 5698106037 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1881224160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 630",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032118",
            "telephone_number": "831-239-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 630",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032118",
            "telephone_number": "619-299-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUACINELLA ORTHOPAEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A",
        "authorized_official_last_name": "QUACINELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-239-4736",
        "authorized_official_credential": "DO, MPH"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.