Individual provider Active NPI

Rafael Eduardo Quinonez, M.D., PHD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Mission Hills, CA
National Provider Identifier
1902091309
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A101502 Issued in CA
Practice address
11550 Indian Hills Rd Ste 280
Mission Hills, CA 91345-1244
Phone
(818) 361-5069
Fax
(818) 837-3411
NPI assigned
Sep 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A101502 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd Ste 280
Mission Hills, CA 91345-1244

Mailing address

11550 Indian Hills Rd Ste 280
Mission Hills, CA 91345-1244
Phone (818) 361-5069

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080307000505 CA Practitioner - Otolaryngology 6800971318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 280
Mission Hills, CA 91345-1244
Phone (818) 361-5069

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
88.91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A101502CAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael E Quinonez MD Inc Otolaryngology CurrentSince Feb 11, 2015 Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

11550 Indian Hls
Ste 280
Mission Hills, CA 91345
Phone (818) 361-5069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1902091309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 280",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451244",
            "telephone_number": "818-361-5069",
            "fax_number": "818-837-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 280",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451244",
            "telephone_number": "818-361-5069",
            "fax_number": "818-837-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONEZ",
        "first_name": "RAFAEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A101502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.