1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Nurse Practitioner
  6. NPI Profile

JASON GRANT QUALLICH ARNP
NPI 1427349380
Nurse Practitioner - Family in Santa Rosa, CA

Active since April 27, 2011PECOS Enrolled
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403(727) 515-9490 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, May 20, 2016 (2 updates tracked since 2016).

About Jason Grant Quallich Arnp NPPES

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

JASON GRANT QUALLICH ARNP (NPI 1427349380) is an individual family provider in Santa Rosa, California, licensed in California (95023490) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427349380
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJASON GRANT QUALLICHCredential: ARNP
Location Address3841 BRICKWAY BLVDSanta Rosa, CA 95403-8226
Mailing Address3654 Alta Vista AveSanta Rosa, CA 95409-4049 · (727) 515-9490
Phone(727) 515-9490
Sole ProprietorNo
Enumeration DateApril 27, 2011
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1427349380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95023490✔ Licensed in FL · ARNP9229231
3841 BRICKWAY BLVD, Santa Rosa, CA 95403
Open in Google Maps ↗

Other Identifiers 1

Medicaid003541900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Grant Quallich Arnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 20

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

MR. MICHAEL GLENN OSTASH LCSW
Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2300
SAN FRANCISCO VAMC
Clinic/Center (VA)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (702) 341-3020
MS. JO ANN CONANT LCSW
Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2372
HEATHER RETH FNP-C
Nurse Practitioner (Family)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2369
JAMES GREENLEE NP
Nurse Practitioner (Gerontology)
3841 BRICKWAY BLVD, HBPC, VA SAN FRANCISCO HEALTH CARE SYSTEM
SANTA ROSA, CA 95403
Sonoma County (707) 569-2369
VICTORIA WRIGHT MSPT
Physical Therapist
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2300
ALYSSA NICOLE CARRILLO AU.D.
Audiologist
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2300
MRS. SANDRA ROCIO STOLFI LCSW
Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Sonoma County (707) 569-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Quallich's NPI number?

The NPI number for Jason Quallich is 1427349380. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Jason Quallich located?

Jason Quallich practices at 3841 Brickway Blvd, Santa Rosa, CA 95403. The listed phone number is (727) 515-9490.

What is Jason Quallich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jason Quallich enrolled in Medicare?

Yes. Jason Quallich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Quallich was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.