NPIMap

Organization Active NPI

Eastfield Ming Quong

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1679638837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTFIELD MING QUONG
Practice address
3411 Rocky Mountain Dr
San Jose, CA 95127-4853
Phone
(408) 379-3790
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura Champion, LMFT
Title
Division Director
Phone
(408) 379-3790

Specialties & licenses 1

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

Addresses

Primary practice location

3411 Rocky Mountain Dr
San Jose, CA 95127-4853

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (408) 379-3790

Other identifiers 2

IdentifierTypeStateIssuer
8382OtherCAUNICARE
L-000223OtherCASCC LOCATION CODE

Other names 1

  • EMQ Children & Family Services Robert Sanders Doing business as

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679638837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081940",
            "telephone_number": "408-379-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 ROCKY MOUNTAIN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951274853",
            "telephone_number": "408-379-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTFIELD MING QUONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "408-379-3790",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "8382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCC LOCATION CODE",
            "identifier": "L-000223",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMQ Children & Family Services Robert Sanders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, 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.

Verify at the official NPI Registry.