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MS. CARMEN ALICIA QUERAL P.A.-C.
NPI 1609051192
Physician Assistant - Medical in Los Angeles, CA

Active since January 03, 2008PECOS Enrolled
11301 WILSHIRE BLVD., DEPT. OF VA--GREATER LOS ANGELES HEALTHCARE SYSTEM, LOS ANGELES, CA 90073(310) 478-3711 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Carmen Alicia Queral P.a.-c. NPPES

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

MS. CARMEN ALICIA QUERAL P.A.-C. (NPI 1609051192) is an individual medical provider in Los Angeles, California, licensed in California (PA 11484) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609051192
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CARMEN ALICIA QUERALCredential: P.A.-C.
Location Address11301 WILSHIRE BLVD., DEPT. OF VA--GREATER LOS ANGELES HEALTHCARE SYSTEMLos Angeles, CA 90073
Mailing Address7225 Crescent Park W, Apt 239Playa Vista, CA 90094-2724 · (818) 510-4425
Phone(310) 478-3711
Sole ProprietorNo
Enumeration DateJanuary 3, 2008
Last NPPES UpdateMay 19, 2016
✔ NPI 1609051192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CA · PA 11484✔ Licensed in FL · PA 910903
11301 WILSHIRE BLVD., Los Angeles, CA 90073
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carmen Alicia Queral P.a.-c. 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.

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.

MRS. ASTER T JEMERE MSW
Social Worker
11301 WILSHIRE BLVD., VA GREATER LOS ANGELES HEALTHCARE
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
CINDY TIEU
Optometrist
11301 WILSHIRE BLVD., EYECARE CENTER BLDG. 304 ROOM 2-111
LOS ANGELES, CA 90073
Los Angeles County (626) 380-6945
BARDO RAMOS MSW, ACSW
Social Worker (Clinical)
11301 WILSHIRE BLVD.
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MS. KATHY M. KARTIGANER M.S.W.
Social Worker
11301 WILSHIRE BLVD., VA-GLA BLDG. 257/GROUND FLOOR
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MRS. PEGGY LEE KEYS SARR PA-C
Physician Assistant (Medical)
11301 WILSHIRE BLVD., INFECTIOUS DISEASES 111-F
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
GLENN NAGAMI M.D.
Internal Medicine (Nephrology)
11301 WILSHIRE BLVD., NEPHROLOGY MAIL CODE 111L
LOS ANGELES, CA 90073
Los Angeles County (310) 268-3835
MS. LISA DIANA BROOKS-STYLES CAADE
Counselor
11301 WILSHIRE BLVD., BLDG. #206
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MRS. UMA RAVISHANKAR
Registered Nurse
11301 WILSHIRE BLVD.
LOS ANGELES, CA 90073
Los Angeles County (323) 640-0190

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 Carmen Queral's NPI number?

The NPI number for Carmen Queral is 1609051192. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Carmen Queral located?

Carmen Queral practices at 11301 Wilshire Blvd. Dept. Of Va--Greater Los Angeles Healthcare System, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.

What is Carmen Queral's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carmen Queral enrolled in Medicare?

Yes. Carmen Queral is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carmen Queral was last updated on May 19, 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.