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

Ivy Lee De Quiros, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1831442763

Ivy Lee De Quiros, NURSEPRACTITIONER is a Nurse Practitioner in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

1200 N State St
Los Angeles, CA 90033-1029
Phone: (323) 226-2622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21742 (CA)

Record details

NPI number1831442763
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESJuly 24, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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