Active NPI
Luis Quintana, NP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN109891 AP1969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 958407 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN109891 AP1969 | AZ | MD | Neuroscience Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guggiari Med PC | Family | Current | Accepting new patients |
| Phoenician Medical Center, Inc | Current | Accepting new patients | |
| Afc Physical Medicine of Gilbert, PLLC | Past | Accepting new patients | |
| Next Level Facility LLC | Past | 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.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1891895637
-
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1528345881
-
- Interventional Pain Medicine Physician
- Phoenix, AZ
- NPI 1558135756
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.