NPIMap

Organization Active NPI

Quest Programs, Inc.

Doing business as Eagle Eye - Vista

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Rafael, CA
National Provider Identifier
1093345589
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
QUEST PROGRAMS, INC.
Doing business as
Eagle Eye - Vista
Practice address
1089 Lea Dr
San Rafael, CA 94903-3746
Phone
(510) 467-4250
Fax
(510) 580-9413
NPI assigned
Jan 23, 2020
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
QUEST PROGRAMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Larry HickmanNPI 1073107132
Title
Executive Director
Phone
(510) 467-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1089 Lea Dr
San Rafael, CA 94903-3746

Mailing address

PO Box 5715
Berkeley, CA 94705-0715
Phone (510) 467-4250

Other practice location 1

51 Elda Dr
San Rafael, CA 94903-3723
Phone (510) 467-4250

Other names 1

  • Eagle Eye - Vista Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quest Programs Inc4 organizations share this tax ID, including this one
Part of
Quest Programs Inc

Other organizations with this tax ID 3

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

Locations

908 Arlington Ave
Oakland, CA 94608
Phone (510) 200-8993

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1093345589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5715",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947050715",
            "telephone_number": "510-467-4250",
            "fax_number": "510-580-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 LEA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033746",
            "telephone_number": "510-467-4250",
            "fax_number": "510-580-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Elda Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949033723",
            "country_code": "US",
            "telephone_number": "510-467-4250",
            "fax_number": "510-467-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEST PROGRAMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST PROGRAMS, INC.",
        "enumeration_date": "2020-01-23",
        "last_updated": "2024-02-14",
        "certification_date": "2023-04-23",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-467-4250"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Eye - Vista",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Eye - Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.