Active NPI
Marion A Quinn, MD
- Dermatology Physician
- Pasadena, CA
National Provider Identifier
1902876907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G26112
- Practice address
- 625 S Fair Oaks Ave
#200
Pasadena, CA 91105-2613 - Phone
- (626) 793-7790
- Fax
- (626) 793-9018
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G26112 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave
#200
Pasadena, CA 91105-2613
Mailing address
625 S Fair Oaks Ave
#200
Pasadena, CA 91105-2613
Phone (626) 793-7790
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G26112 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1902876907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE",
"address_2": "#200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052613",
"telephone_number": "626-793-7790",
"fax_number": "626-793-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE",
"address_2": "#200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052613",
"telephone_number": "626-793-7790",
"fax_number": "626-793-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "MARION",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G26112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.