Individual provider Active NPI

Amor Afuang Quinio, MD

  • Pediatrics Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1952411373
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50109 Issued in CA
Practice address
9710 19TH St
Rancho Cucamonga, CA 91737-3538
Phone
(909) 581-0008
Fax
(909) 581-0030
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A50109 CA Primary

Addresses

Primary practice location

9710 19TH St
Rancho Cucamonga, CA 91737-3538

Mailing address

9710 19TH St
Rancho Cucamonga, CA 91737-3538
Phone (909) 581-0008

Other identifiers 1

IdentifierTypeStateIssuer
00A501090OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151021001868 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173832730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50109CAMDMarriage & Family Therapist
A50109CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1952411373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 19TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "909-581-0008",
            "fax_number": "909-581-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 19TH ST",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373538",
            "telephone_number": "909-581-0008",
            "fax_number": "909-581-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINIO",
        "first_name": "AMOR",
        "middle_name": "AFUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A501090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.