NPIMap

Organization Active NPI

Eastfield Ming Quong

  • Public Health or Welfare Agency
  • Campbell, CA
National Provider Identifier
1003988866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
19191 Issued in CA
Legal business name
EASTFIELD MING QUONG
Practice address
251 Llwellyn Ave,
Campbell, CA 95008-3143
Phone
(408) 379-9085
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Craig Hamilton Barton, MSW
Title
Crisis Clinician
Phone
(408) 379-9085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 19191 CA Primary

Addresses

Primary practice location

251 Llwellyn Ave,
Campbell, CA 95008-3143

Mailing address

6040 Johnston Dr
Oakland, CA 94611-3143
Phone (510) 282-5671

National Provider Directory

National Provider Directory
Tax ID family
Saint Francis Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003988866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 JOHNSTON DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946113143",
            "telephone_number": "510-282-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLWELLYN AVE,",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083143",
            "telephone_number": "408-379-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTFIELD MING QUONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "CRISIS CLINICIAN",
        "authorized_official_telephone_number": "408-379-9085",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "19191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.