Active NPI
Desiree Quynh Anh Luong, M.S., M.ED
- Developmental Therapist
- Santa Cruz, CA
National Provider Identifier
1992072755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 344 Fairmount Ave
Santa Cruz, CA 95062-1120 - Phone
- (831) 316-4699
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
344 Fairmount Ave
Santa Cruz, CA 95062-1120
Mailing address
344 Fairmount Ave.
Santa Cruz, CA 95062
Phone (831) 316-4699
Other practice location 1
2851 Park Avenue
Santa Clara, CA 95050
Phone (408) 243-7861 ext. 248
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)
- Not enrolled
- Credentials
- Master of Education, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honu Intervention, Inc. | Behavior Analyst | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992072755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 FAIRMOUNT AVE.",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-316-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 FAIRMOUNT AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621120",
"telephone_number": "831-316-4699"
}
],
"practiceLocations": [
{
"address_1": "2851 Park Avenue",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "95050",
"country_code": "US",
"telephone_number": "408-243-7861 x248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUONG",
"first_name": "DESIREE",
"middle_name": "QUYNH ANH",
"name_prefix": "Miss",
"credential": "M.S., M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.