A&e Medical Group-A Professional Nursing Corporation
NPI 1306424502ActiveOrganization· Nurse Practitioner, Family· Glendale, CA
Nurse Practitioner, Family in Glendale, California, registered in NPPES in March 2021. The authorized official on file is Derick Que, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306424502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certified by provider | May 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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