Qingquan Medical Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

C53780 Issued in CA

Legal business name

QINGQUAN MEDICAL INC

Practice address

818 Jackson St Ste 202
San Francisco, CA 94133-4849

Phone

(415) 312-9094

Fax

(415) 795-9691

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Qingquan Fu, MDNPI 1578673620

Title

Owner

Phone

(415) 312-9094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Qingquan Fu, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1578673620
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1588074728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 32ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 JACKSON ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334849",
            "telephone_number": "415-312-9094",
            "fax_number": "415-795-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Stockton St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941081633",
            "country_code": "US",
            "telephone_number": "415-312-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QINGQUAN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "QINGQUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-312-9094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C53780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qiang T Cai DDS Inc
• Lili Qiao, DAOM, L.AC
• Elizabeth Yi Qin, MD PHD
• Nancy Qin, BA
• Tiantian Qin
• Bo Qiu, M.D. PH.D.
• Jialei Qiu
• Mickey Qiu, COUNSELOR CATC
• Shuo Qiu
• Amir Qorbani, MD

• Primary Care Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.