Solciet Sofia del Valle Quilarque Gukovsky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

173491 Issued in CA

Practice address

590 West Putnam Avenue
Porterville, CA 93257

Phone

(559) 781-3700

NPI assigned

May 9, 2018

Reactivated

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1922597566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 WEST PUTNAM AVENUE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-781-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WEST PUTNAM AVENUE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-781-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILARQUE GUKOVSKY",
        "first_name": "SOLCIET",
        "middle_name": "SOFIA DEL VALLE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "deactivation_date": "2018-12-19",
        "reactivation_date": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "173491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Lynn Ptomey, R.N.
• Somya Puri
• Putnam Xray Center Inc
• Mohanad Qaysia
• Zhen Qin, DDS
• Kevin Paul Quinn, PTA
• Ghufran Ali Quresh, MD
• Karthik Raghuraman, DDS MPH
• Rajendra H Dwivedi M.D. Inc
• Rakesh Jindal M.D. Inc

• Pediatrics Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.