Active NPI
Michael Quacinella
- Orthopaedic Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A14499
- Practice address
- 4060 Fourth Ave Ste 630
San Diego, CA 92103-2118 - Phone
- (619) 299-3950
- NPI assigned
- Jun 5, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 5113 | TN | |
| Orthopaedic Trauma Physician | 207XX0801X | 20A14499 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 20A14499 | CA | Primary |
Addresses
Primary practice location
4060 Fourth Ave Ste 630
San Diego, CA 92103-2118
Mailing address
4060 Fourth Ave Ste 630
San Diego, CA 92103-2118
Phone (619) 299-3950
Other practice location 1
1301 Medical Center Dr Ste 3501A
Nashville, TN 37232-3100
Phone (615) 322-2063
Other practice location 2
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone (831) 239-4736
Other practice location 3
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4060 4TH Ave
Suite 630
San Diego, CA 92103-2118
Phone (619) 299-3950
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600
Hospital & facility affiliations
- Seaport Scripps Home Health
- Scripps Mercy Hospital
- Scripps Memorial Hospital la Jolla
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey | Current | Accepting new patients | |
| On Call Specialists Medical Group of San Diego, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| County of Monterey Behavioral Health | Current | Accepting new patients |
Locations
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
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.
-
- Specialist
- San Diego, CA
- NPI 1962175836
Orthopaedic Surgery
-
- Orthopaedic Trauma Physician
- San Diego, CA
- NPI 1881224160
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1750906954
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1962815100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE STE 630",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032118",
"telephone_number": "619-299-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE STE 630",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032118",
"telephone_number": "619-299-3950"
}
],
"practiceLocations": [
{
"address_1": "1301 Medical Center Dr Ste 3501A",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372323100",
"country_code": "US",
"telephone_number": "615-322-2063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "937 Franklin Blvd",
"address_purpose": "LOCATION",
"city": "Lemoore",
"state": "CA",
"postal_code": "932464700",
"country_code": "US",
"telephone_number": "831-239-4736",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1441 Constitution Blvd",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939063100",
"country_code": "US",
"telephone_number": "831-755-4111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUACINELLA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TN",
"license": "5113",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "20A14499",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A14499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.