Qismah, Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

License

198205057 Issued in CA

Legal business name

QISMAH, INC

Practice address

879 W 190TH St
400
Gardena, CA 90248-4220

Phone

(310) 217-4024

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Huffman

Title

Owner/ Director

Phone

(310) 217-4024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1831588839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST",
            "address_2": "400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484223",
            "telephone_number": "310-567-3647",
            "fax_number": "310-719-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST",
            "address_2": "400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484220",
            "telephone_number": "310-217-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QISMAH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR",
        "authorized_official_telephone_number": "310-217-4024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "198205057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie L. Prudencio, MA, BCBA
• Andrew Puente
• Andrea Pugh
• Imari Pugh
• Martha Puron, LMFT 152937
• Danny Quach
• Victor Quach
• Diane Quang
• Simone Quary
• Aileen Quezada

• Respite Care in Gardena, CA
• Providers in Gardena, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.