Qualitas Mobile Medical, PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

QUALITAS MOBILE MEDICAL, PC

Practice address

8787 Complex Dr
130
San Diego, CA 92123-1419

Phone

(619) 882-3100

Fax

(858) 278-9818

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Jeffrey Scott Willmann, MHSA

Title

President & Ceo

Phone

(858) 829-1921

Specialties & licenses 2

Addresses

Other names 1

• Qualitas Medical Doing business as

Locations

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1922457696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 FAY AVE",
            "address_2": "#329",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370021",
            "telephone_number": "858-829-1921",
            "fax_number": "619-269-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 COMPLEX DR",
            "address_2": "130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231419",
            "telephone_number": "619-882-3100",
            "fax_number": "858-278-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITAS MOBILE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "WILLMANN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "858-829-1921",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualitas Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Anne Quaerna
• Qualcare Home Health Services Inc.
• Michelle Qualin-Chappell, RN CDE
• Qualitas Health Partners, Inc.
• Qualitas Medical Management, LLC
• Quality Biomedical Equipment
• Quality First Healthcare
• Quality Home Health Care of California
• Quality Medical Enterprises Inc.
• Jesse Raia Qualliotine, MD

• Primary Care Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.