MARLENE QUILALA MD
NPI 1346308855
Pediatrics in Lakeport, CA

Q: What is Marlene Quilala's NPI number?

The NPI number for Marlene Quilala is 1346308855. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Marlene Quilala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Quilala was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2006PECOS Enrolled

359 LAKEPORT BLVD, LAKEPORT, CA 95453(707) 533-2740(707) 263-5400 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Marlene Quilala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLENE QUILALA MD (NPI 1346308855) is an individual pediatrics provider in Lakeport, California, licensed in California (A063667) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346308855

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARLENE QUILALACredential: MD

Location Address359 LAKEPORT BLVDLakeport, CA 95453-5412

Mailing Address3605 Black Rock Ridge RdLakeport, CA 95453 · (707) 262-1634

Phone(707) 533-2740

Fax(707) 263-5400

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateOctober 6, 2016

✔ NPI 1346308855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A063667

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

359 LAKEPORT BLVD, Lakeport, CA 95453

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Other Identifiers 2

Medicare UPING68990

Other05137251Ecfmg

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene Quilala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marlene Quilala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake County Tribal Health Consortium Inc.

0.3 mi

Federally Qualified Health Center (FQHC)

925 BEVINS CT
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
59 clinicians in this Medicare group

NPI 1881697381 (707) 263-8382

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))