Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Quinn Malia Omoto, DO

Individual provider Neurology Physician · NPI 1871957464

Dr. Quinn Malia Omoto, DO is a Neurology in New York, New York. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Washington.

Years since qualifying
10
Licensed in
NY, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

130 E 77th St
New York, NY 10075-1851
Phone: (212) 434-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 105 W 8th Ave Ste 318c, Spokane, WA 99204-2318 — (509) 474-2894
  • 505 Ne 87th Ave Ste 460, Vancouver, WA 98664-1965 — (360) 514-7771

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 312479 (NY)
Neurology Physician Taxonomy 2084N0400X · Licence OP61175514 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871957464
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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