Organization Active NPI

Denq Corporation

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1174674980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A065839 Issued in CA
Legal business name
DENQ CORPORATION
Practice address
18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200
Phone
(818) 885-1005
Fax
(818) 885-7811
NPI assigned
Jan 16, 2007
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
Stephen P. Denq, M.D.
Title
President
Phone
(818) 885-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A065839 CA Primary

Addresses

Primary practice location

18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200

Mailing address

18251 Roscoe Blvd
Suite 105
Northridge, CA 91325-4200
Phone (818) 885-1005

Other identifiers 1

IdentifierTypeStateIssuer
00A658390MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174674980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-885-1005",
            "fax_number": "818-885-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18251 ROSCOE BLVD",
            "address_2": "SUITE 105",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254200",
            "telephone_number": "818-885-1005",
            "fax_number": "818-885-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENQ CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENQ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-885-1005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A065839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A658390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, 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.