NPIMap

Organization Active NPI

Quest Health Management Psychological Corporation

  • Community/Behavioral Health Agency
  • Chino, CA
National Provider Identifier
1245791490
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
QUEST HEALTH MANAGEMENT PSYCHOLOGICAL CORPORATION
Practice address
4110 Edison Ave Ste 206a
Chino, CA 91710-8417
Phone
(951) 454-5577
Fax
(951) 599-7511
NPI assigned
Mar 29, 2019
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Dr. Tseday Aberra, PSY.D.NPI 1104026517
Title
Managing Director
Phone
(951) 454-5577

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4110 Edison Ave Ste 206a
Chino, CA 91710-8417

Mailing address

4110 Edison Ave Ste 206a
Chino, CA 91710-8417
Phone (951) 454-5577

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherPRIVATE INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816002894 CA Part B Supplier - Clinic/Group Practice 2769710565 Receives reassigned benefits from 53 practitioners
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

14772 Pipeline Ave
Ste D
Chino Hills, CA 91709
Phone (909) 293-9124

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1245791490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 206A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108417",
            "telephone_number": "951-454-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 206A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108417",
            "telephone_number": "951-454-5577",
            "fax_number": "951-599-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST HEALTH MANAGEMENT PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "ABERRA",
        "authorized_official_first_name": "TSEDAY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "951-454-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.