Active NPI
Vicentekuo Chee Quan, MD
- Family Medicine Physician
- Folsom, CA
National Provider Identifier
1902087422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A32457
- Practice address
- 101 Heart Butte CT
Folsom, CA 95630 - Phone
- (916) 874-5303
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A32457 | CA | Primary |
Addresses
Primary practice location
101 Heart Butte CT
Folsom, CA 95630
Mailing address
5380 Elvas Avenue
Suite 214
Sacramento, CA 95819
Phone (916) 453-0254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32457 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1902087422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 ELVAS AVENUE",
"address_2": "SUITE 214",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95819",
"telephone_number": "916-453-0254",
"fax_number": "916-453-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEART BUTTE CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-874-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "VICENTEKUO CHEE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A32457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.