JOHNNY QUAN – Physician Assistant, NPI 1174037840

JOHNNY QUAN is a healthcare provider. based in Garden grove, California. specializing in Physician Assistant. They hold a License No. 55130 (CA). The NPI Number for JOHNNY QUAN is 1174037840

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY QUAN
NPI
1174037840
Phone
(562) 506-7159
Address
11442 KATHY LN
Enumeration Date
16 November 2017
Last Update Date
16 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8053795435
Graduation Year
2017 (9 years ago)
PAC ID
1254686009
Group Practice PAC ID
4880582618
Professional Enrollment ID
I20180619000923
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for JOHNNY QUAN

  • 11442, Kathy Lane, Garden Grove, Orange County, California, 92840, United States

    GARDEN GROVE, CA 928401717

    Phone: (562) 506-7159

    Type: Mailing

  • Lompoc Valley Medical Center, 1515, East Ocean Avenue, Lompoc, Santa Barbara County, California, 93463, United States

    LOMPOC, CA 934367092

    Phone: (805) 737-3300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Chiesi USA, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180619000923IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making9696$0
99285Emergency department visit with high level of medical decision making4242$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3029$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 92840)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880582618View full group profile

Reviews

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Frequently asked questions

What is JOHNNY QUAN's NPI number?
JOHNNY QUAN's NPI is 1174037840 — the number used across U.S. healthcare to identify this provider.
Would JOHNNY QUAN appear as active to a payer?
You can treat JOHNNY QUAN as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JOHNNY QUAN?
JOHNNY QUAN is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JOHNNY QUAN located near Garden Grove?
JOHNNY QUAN currently maps to Garden Grove, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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