PQ Outreach Coalition

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PQ OUTREACH COALITION

Practice address

10060 Carmel Mountain Rd
San Diego, CA 92129-3228

Phone

(858) 206-1860

Fax

(858) 484-8577

NPI assigned

Dec 1, 2010

Last updated

Dec 1, 2010By 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

Dr. William Kenneth Harmaning, ED.D.

Title

Chair Board of Directors

Phone

(858) 206-1860

Specialties & licenses 1

Addresses

Other names 1

• Impact Community Clinic Other name

Locations

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1619279361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 CARMEL MOUNTAIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293228",
            "telephone_number": "858-206-1860",
            "fax_number": "858-484-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 CARMEL MOUNTAIN RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293228",
            "telephone_number": "858-206-1860",
            "fax_number": "858-484-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PQ OUTREACH COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "HARMANING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CHAIR  BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "858-206-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Community Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Point of Service in San Diego, CA
• Providers in San Diego, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.