Active NPI
Eastfield Ming Quong
- Public Health or Welfare Agency
- Campbell, CA
National Provider Identifier
1477625440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 40501
- Legal business name
- EASTFIELD MING QUONG
- Practice address
- 251 Llewellyn Ave
Campbell, CA 95008-1940 - Phone
- (408) 379-3790
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cassandra Riedy Harms, MFT
- Title
- Clinician
- Phone
- (408) 963-8876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 40501 | CA | Primary |
Addresses
Primary practice location
251 Llewellyn Ave
Campbell, CA 95008-1940
Mailing address
23450 Old Santa Cruz Hwy
Los Gatos, CA 95033-8707
Phone (408) 963-8876
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477625440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23450 OLD SANTA CRUZ HWY",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950338707",
"telephone_number": "408-963-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LLEWELLYN AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081940",
"telephone_number": "408-379-3790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTFIELD MING QUONG",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARMS",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_middle_name": "RIEDY",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "408-963-8876",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "40501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.