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NICOLE QUINTAL
NPI 1992474647
Counselor - Professional in Antioch, CA

Active since September 07, 2021PECOS Enrolled
3454 HILLCREST AVE, ANTIOCH, CA 94531(925) 777-6300 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Dec 18, 2025, Jun 8, 2023 and 4 more (7 updates tracked since 2021).

About Nicole Quintal NPPES

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

NICOLE QUINTAL (NPI 1992474647) is an individual professional provider in Antioch, California, licensed in California (21585) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992474647
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE QUINTAL
Location Address3454 HILLCREST AVEAntioch, CA 94531-4263
Mailing Address758 Antigua TerMountain House, CA 95391-1259
Phone(925) 777-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2021
Last NPPES UpdateJuly 24, 20267 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1992474647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · 21585✔ Licensed in CA · 12062
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 12062 (CA)
3454 HILLCREST AVE, Antioch, CA 94531
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Quintal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294291126
PECOS Enrollment IDI20260730002224
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 Reassignments

2

Medicare enrollment records show Nicole Quintal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
27 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Cyti Health PC
447 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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

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.

DR. OLAYINKA RAHMAN
Psychologist (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6300
MR. JARED JONAS COZEN LMHC
Psychologist (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6226
DR. LAUREN ELIZABETH MADLOCK PSYD
Psychologist (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6300
MRS. DIANA RODRIGUEZ LCSW
Social Worker (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 427-0867
DR. KALANA RENE' GREER PSYD
Psychologist (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6377
NATALIA DIAVATIS PSYD
Psychologist (Clinical)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6300
DR. LI LAN M.D.
Psychiatry & Neurology (Psychiatry)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 777-6300
NNENNAYA EKWUTOSI NWOKEJI M.D.
Psychiatry & Neurology (Psychiatry)
3454 HILLCREST AVE
ANTIOCH, CA 94531
Contra Costa County (925) 325-8083

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 Nicole Quintal's NPI number?

The NPI number for Nicole Quintal is 1992474647. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Nicole Quintal located?

Nicole Quintal practices at 3454 Hillcrest Ave, Antioch, CA 94531. The listed phone number is (925) 777-6300.

What is Nicole Quintal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Quintal enrolled in Medicare?

Yes. Nicole Quintal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Quintal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Quintal reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Cyti Health PC (San Diego, CA). Each 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 Nicole Quintal'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 Nicole Quintal was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.