Individual provider Active NPI

Luis Quintana, NP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1952308264
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN109891 AP1969 Issued in AZ
Practice address
6309 E Baywood Ave
Mesa, AZ 85206-1744
Phone
(480) 325-3801
Fax
(480) 325-3805
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN109891 AP1969 AZ Primary
Neuroscience Clinical Nurse Specialist 364SN0800X RN109891 AP1969 AZ

Addresses

Primary practice location

6309 E Baywood Ave
Mesa, AZ 85206-1744

Mailing address

PO Box 13550
Mesa, AZ 85216-3550
Phone (480) 325-3801

Other identifiers 1

IdentifierTypeStateIssuer
958407MedicaidAZ

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN109891 AP1969AZMDNeuroscience Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Guggiari Med PC Family CurrentSince Mar 1, 2018 Accepting new patients
Phoenician Medical Center, Inc CurrentSince Feb 5, 2018 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC Past Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients

Locations

1545 W Broadway Ave
Ste 101
Apache Junction, AZ 85120

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

40 S Kyrene Rd
Ste 3
Chandler, AZ 85226
Phone (480) 361-6609

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1952308264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13550",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852163550",
            "telephone_number": "480-325-3801",
            "fax_number": "480-325-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061744",
            "telephone_number": "480-325-3801",
            "fax_number": "480-325-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "LUIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN109891 AP1969",
            "primary": true
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "AZ",
            "license": "RN109891 AP1969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "958407",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.