Individual provider Active NPI

Phuong Quach

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1730335787
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC49103 Issued in CA
Practice address
3505 Camino del Rio S Ste 212
San Diego, CA 92108-4016
Phone
(858) 302-8521
NPI assigned
Aug 11, 2008
Last updated
Apr 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC49103 CA Primary

Addresses

Primary practice location

3505 Camino del Rio S Ste 212
San Diego, CA 92108-4016

Mailing address

3505 Camino del Rio S Ste 212
San Diego, CA 92108-4016
Phone (858) 302-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC49103CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peace and Balance Individual and Family Therapy, Inc. Marriage & Family Therapist Current Accepting new patients

Locations

3505 Camino del Rio S
Ste 212
San Diego, CA 92108
Phone (619) 407-9345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1730335787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084016",
            "telephone_number": "858-302-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CAMINO DEL RIO S STE 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084016",
            "telephone_number": "858-302-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "PHUONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC49103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; 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.