Quest Biofeedback

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

QUEST BIOFEEDBACK

Practice address

27001 La Paz Rd
Suite 336
Mission Viejo, CA 92691-5502

Phone

(949) 525-3254

Fax

(949) 888-6260

NPI assigned

Mar 4, 2009

Last updated

Jun 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Grant Swanson, CBS, CPMS,CSMS

Title

Ceo/President

Phone

(949) 525-3254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1326288358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GINGHAM ST",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926795320",
            "telephone_number": "949-525-3254",
            "fax_number": "949-888-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 336",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-525-3254",
            "fax_number": "949-888-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST BIOFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "949-525-3254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CBS, CPMS,CSMS"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.