CLARISSA QUACH
NPI 1962961243
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Clarissa Quach's NPI number?

The NPI number for Clarissa Quach is 1962961243. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Clarissa Quach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Quach was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarissa Quach NPPES

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

CLARISSA QUACH (NPI 1962961243) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962961243

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCLARISSA QUACH

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 18, 2019

Last NPPES UpdateDecember 22, 2023

✔ NPI 1962961243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N PEPPER AVE, Colton, CA 92324

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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 and accepts Medicare assignment

Clarissa Quach 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.

PECOS PAC ID1153770664

PECOS Enrollment IDI20231208003439

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.

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