Organization Active NPI

Quang Medical Practice, Inc.

  • Clinic/Center
  • San Francisco, CA
National Provider Identifier
1467938340
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUANG MEDICAL PRACTICE, INC.
Practice address
1199 Bush St Ste 560
San Francisco, CA 94109-5976
Phone
(415) 885-8080
Fax
(415) 885-8081
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Yen Quang, MDNPI 1326228487
Title
President
Phone
(415) 885-8080

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1199 Bush St Ste 560
San Francisco, CA 94109-5976

Mailing address

1199 Bush St Ste 560
San Francisco, CA 94109-5976
Phone (415) 885-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181213003203 CA Part B Supplier - Clinic/Group Practice 3577808864 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1467938340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST STE 560",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095976",
            "telephone_number": "415-885-8080",
            "fax_number": "415-885-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 BUSH ST STE 560",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095976",
            "telephone_number": "415-885-8080",
            "fax_number": "415-885-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANG MEDICAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "QUANG",
        "authorized_official_first_name": "YEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-885-8080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.