NPIMap

Organization Active NPI

Eastfield Ming Quong

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1407917065
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTFIELD MING QUONG
Practice address
9343 Tech Center Dr Ste 200
Sacramento, CA 95826-2592
Phone
(916) 388-6400
Fax
(916) 388-6434
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Ms. Lyn Farr, LCSW
Title
Vice President
Phone
(916) 388-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

9343 Tech Center Dr Ste 200
Sacramento, CA 95826-2592

Mailing address

9343 Tech Center Dr Ste 200
Sacramento, CA 95826-2592
Phone (916) 388-6400

Other identifiers 1

IdentifierTypeStateIssuer
34AHMedicaidCA

Other names 1

  • EMQ Children & Family Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Eastfield Ming Quong7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1407917065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "916-388-6400",
            "fax_number": "916-388-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9343 TECH CENTER DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262592",
            "telephone_number": "916-388-6400",
            "fax_number": "916-388-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTFIELD MING QUONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "LYN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-388-6363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34AH",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMQ Children & Family Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.