PHILIPP QUADRA (NPI# 1649685975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649685975 |
| Entity Type | Individual |
| Full Name | PHILIPP QUADRA |
| Credential | RN |
| Practice Address |
500 N 9th St Suite C Modesto CA 95350-5814 |
| Mailing Address |
2800 Orchard Park Way Modesto CA 95355-7954 |
| Practice Telephone | 2095584420 |
| Practice Fax Number | 2095584873 |
| Mailing Telephone | 2095510496 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
756221 | CA | Nursing Service Providers |
| Street Address |
500 N 9TH ST SUITE C |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477610145 | Lori Norwood Jr. | Case Manager/Care Coordinator | 500 N 9th St, Modesto, CA 95350-5814 | 2007-01-02 |
| 1841807682 | Connie Chavarria | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2020-09-25 |
| 1831748565 | Jessica Acevedo | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-09-05 |
| 1487210605 | Lynnsey La Rae Howardcolossio | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-05-13 |
| 1316500630 | Lynda Cambra | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1801459151 | Richard Kevin Lonsinger Jr. | Technician | 500 N 9th St, Modesto, CA 95350-5814 | 2019-04-22 |
| 1376080382 | Della Garcia | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Modesto, CA 95350-5814 | 2017-01-28 |
| 1124565403 | Tyrone Thompson | Student in an Organized Health Care Education/Training Program | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-25 |
| 1114463957 | Joshua Merrill | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2017-01-18 |
| 1124576848 | Maria Scola | Case Manager/Care Coordinator | 500 N 9th St, Suite B, Modesto, CA 95350-5814 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1598287906 | Janet Vargas | Registered Nurse | 1312 Pecos Ave, Modesto, CA 95351-4728 | 2017-07-07 |
| 1871982199 | Celeste Lascano | Registered Nurse | 3001 Hahn Dr Apt 354, Modesto, CA 95350-6585 | 2015-01-12 |
| 1558520114 | Kim Dale Goodrum | Registered Nurse | 825 Palmilla Dr, Modesto, CA 95356-1152 | 2008-06-08 |
| 1902093909 | Gayle Patricia Ivy | Registered Nurse | 3909 Trillium Ave, Modesto, CA 95356-1319 | 2007-10-03 |
| 1871792952 | Mary Lynn Miller | Registered Nurse | 500 N 9th St Ste C, Modesto, CA 95350-5814 | 2007-07-17 |
| 1962523225 | Koni Del Nugent | Registered Nurse | 1912 Post Oak Dr, Modesto, CA 95354-1634 | 2007-04-03 |
| 1104946946 | Melissa Alane Sanchez | Registered Nurse | 1829 Savoie Way, Modesto, CA 95356-8947 | 2007-03-29 |
| 1922132802 | John Francis Gilmore | Registered Nurse | 920 12th Street, Modesto, CA 95354 | 2007-03-15 |
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.