Individual provider Active NPI

Anhdao Ngoc Quach, L.AC, DOM

  • Acupuncturist
  • Huntington Beach, CA
National Provider Identifier
1194325316
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6261 Issued in CA
Practice address
18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076
Phone
(714) 465-9599
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6261 CA Primary
Orthopedic Physical Therapist 2251X0800X AC6261 CA

Addresses

Primary practice location

18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076

Mailing address

18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076
Phone (714) 465-9599

Other names 1

  • Therresa Anhdao Ngoc Quach Other name

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

State licenses

LicenseStateTypeSpecialty
AC6261CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
American Beam Clinic Inc Acupuncturist CurrentSince Jul 17, 2020 Accepting new patients
MB Laser Corp Acupuncturist Current Accepting new patients
Regentox LLC Acupuncturist PastSince Oct 11, 2020 Accepting new patients

Locations

18682 Beach Blvd
Ste 165
Huntington Beach, CA 92648
Phone (714) 465-9599

9191 Bolsa Ave
Ste 207
Westminster, CA 92683
Phone (714) 622-4125

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1194325316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD STE 165",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482076",
            "telephone_number": "714-465-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD STE 165",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482076",
            "telephone_number": "714-465-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "ANHDAO",
        "middle_name": "NGOC",
        "credential": "L.AC, DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6261",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "AC6261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERRESA",
            "last_name": "QUACH",
            "middle_name": "ANHDAO NGOC",
            "credential": "L.AC, OMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.