Individual provider Active NPI

Michael Quacinella

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1962815100
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A14499 Issued in CA
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

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025000647 CA Practitioner - Orthopedic Surgery 6901138882 Reassigns benefits to 3 organizations

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
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

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 Home health agency, San Diego, CA, CCN 057602
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey CurrentSince Sep 1, 2019 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. Orthopaedic Surgery CurrentSince Aug 30, 2024 Accepting new patients
County of Monterey Behavioral Health CurrentSince Sep 1, 2019 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.