Organization Active NPI

Quantum Global Health of Riverside

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1275171092
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
QUANTUM GLOBAL HEALTH OF RIVERSIDE
Practice address
299 W Hillcrest Dr Ste 104
Thousand Oaks, CA 91360-7822
Phone
(805) 285-7725
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Pedro Sanque
Title
Coordinator
Phone
(805) 285-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

299 W Hillcrest Dr Ste 104
Thousand Oaks, CA 91360-7822

Mailing address

299 W Hillcrest Dr Ste 104
Thousand Oaks, CA 91360-7822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1275171092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W HILLCREST DR STE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607822",
            "telephone_number": "805-285-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM GLOBAL HEALTH OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "SANQUE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "805-285-7725"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.