Active NPI
Quimbo Gulay Ching, MD
- Pediatrics Physician
- Indio, CA
National Provider Identifier
1083667646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C134912
- Practice address
- 81833 Dr Carreon Blvd Ste 6
Indio, CA 92201-5590 - Phone
- (760) 775-7763
- Fax
- (760) 775-9953
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-068065 | IL | |
| Pediatrics Physician | 208000000X | C134912 | CA | Primary |
Addresses
Primary practice location
81833 Dr Carreon Blvd Ste 6
Indio, CA 92201-5590
Mailing address
81833 Dr Carreon Blvd Ste 6
Indio, CA 92201-5590
Phone (760) 775-7763
Other practice location 1
825 S Milwaukee Ave
Libertyville, IL 60048-3218
Phone (847) 680-8066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367830 | Other | IL | PEDIATRICS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AMG | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C134912 | CA | MD | Pediatrics Physician |
| 036-068065 | IL | MD | Pediatrics Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yazji Pediatric Care, a Medical Corporation | Pediatrics | Past | Accepting new patients |
| JFK Memorial Hospital, Inc. | Past | Accepting new patients | |
| Zosima B. Carino-Gateb, M.D., Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- quimbo.ching.p48@direct.mydohc.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Pediatrics Physician
- Indio, CA
- NPI 1841151602
-
- Pediatric Adolescent Medicine Physician
- Indio, CA
- NPI 1831538651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1083667646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81833 DR CARREON BLVD STE 6",
"city": "INDIO",
"state": "CA",
"postal_code": "922015590",
"telephone_number": "760-775-7763",
"fax_number": "760-775-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81833 DR CARREON BLVD STE 6",
"city": "INDIO",
"state": "CA",
"postal_code": "922015590",
"telephone_number": "760-775-7763",
"fax_number": "760-775-9953"
}
],
"practiceLocations": [
{
"address_1": "825 S Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600483218",
"country_code": "US",
"telephone_number": "847-680-8066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHING",
"first_name": "QUIMBO",
"middle_name": "GULAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-068065",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C134912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "367830",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AMG",
"affiliation": "N",
"endpointDescription": "Peidatrics",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Direct mail",
"address_1": "825 S Milwaukee Ave",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600483218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.