IVY LEE DE QUIROS NURSE PRACTITIONER
NPI 1831442763
Nurse Practitioner - Family in Los Angeles, CA
About Ivy Lee De Quiros Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY LEE DE QUIROS NURSE PRACTITIONER (NPI 1831442763) is an individual family provider in Los Angeles, California, licensed in California (21742) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivy Lee De Quiros Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ivy Lee De Quiros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cudahy, CA 90201
- Reassigned Medicare billing, California enrollment
- 279 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Ivy Lee De Quiros's NPI number?
The NPI number for Ivy Lee De Quiros is 1831442763. It was assigned to this individual provider in the NPPES registry on October 16, 2012. The provider is also known as Ivy Dequiros.
Where is Ivy Lee De Quiros located?
Ivy Lee De Quiros practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2622.
What is Ivy Lee De Quiros's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ivy Lee De Quiros enrolled in Medicare?
Yes. Ivy Lee De Quiros is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ivy Lee De Quiros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Lee De Quiros reassigns Medicare benefits to Prohealth Partners A Medical Group (Cudahy, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivy Lee De Quiros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Lee De Quiros was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ivy Lee De Quiros, NURSE PRACTITIONER · NPI 1831442763
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 16, 2012.
## Identity
- **NPI:** 1831442763 (Entity type: Individual)
- **Enumerated:** October 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 21742 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, Los Angeles, CA 90033-1029
- **Phone:** (323) 226-2622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Partners A Medical Group (NPI 1922495076, Cudahy, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 24, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1831442763) · Data from the CMS NPPES public registry.