Individual provider Active NPI

Terence Quilatan, FNP-C

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1881490225
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95033903 Issued in CA
Practice address
17780 Boxwood Dr
Riverside, CA 92503-7034
Phone
(951) 525-3427
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95033903 CA Primary

Addresses

Primary practice location

17780 Boxwood Dr
Riverside, CA 92503-7034

Mailing address

17780 Boxwood Dr
Riverside, CA 92503-7034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529003274 CA Practitioner - Nurse Practitioner 3678082971 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity Wound Care SpecialistGroup PAC ID 7810438264, 7 clinicians
Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

17337 Ventura Blvd
Suite 220
Encino, CA 91316-4039
Phone (818) 518-0146

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95033903CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Wound Care Specialist CurrentSince May 1, 2025 Accepting new patients
Mint Health Solutions, Inc CurrentSince Mar 20, 2025 Accepting new patients
Infinity Mobile Medical Group CurrentSince May 1, 2025 Accepting new patients
Innovative Wound Solutions Inc CurrentSince Oct 13, 2025 Accepting new patients

Locations

17337 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (818) 418-4440

87 N Raymond Ave
Ste 200
Pasadena, CA 91103
Phone (323) 250-3720

44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1881490225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 BOXWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17780 BOXWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925037034",
            "telephone_number": "951-525-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILATAN",
        "first_name": "TERENCE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95033903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.