Healthcare Provider Details

I. General information

NPI: 1043281405
Provider Name (Legal Business Name): MARIA C QUAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11030 BOLLINGER CANYON RD STE 200
SAN RAMON CA
94582-4826
US

IV. Provider business mailing address

11030 BOLLINGER CANYON RD STE 200
SAN RAMON CA
94582-4826
US

V. Phone/Fax

Practice location:
  • Phone: 925-263-5583
  • Fax:
Mailing address:
  • Phone: 925-263-5583
  • Fax: 760-414-3892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC143703
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD00037841
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: