ABG MED GROUP, INC. (NPI# 1265781603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265781603 |
| Entity Type | Organization |
| Organization Name | ABG MED GROUP, INC. |
| Practice Address |
4660 El Cajon Blvd Suite 106 San Diego CA 92115-4450 |
| Practice Telephone | 6192551564 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | ENO E UDI (CEO) |
| Authorized Official Telephone | 6192551564 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | C3484675 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 332B00000X | 05 |
| Street Address |
4660 EL CAJON BLVD SUITE 106 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063434546 | Stephanie Suzanne Gray | Counselor | 4660 El Cajon Blvd, Suite 210, San Diego, CA 92115-4450 | 2006-07-24 |
| 1801369756 | Rachel Ahakuelo | Counselor | 4660 El Cajon Blvd, San Diego, CA 92115-4450 | 2019-01-03 |
| 1831618891 | Dennis Crosby | Counselor | 4660 El Cajon Blvd, Ste. 210, San Diego, CA 92115 | 2017-09-11 |
| 1184168775 | Episcopal Community Services | Case Management | 4660 El Cajon Blvd, Suite 210, San Diego, CA 92115-4450 | 2016-12-15 |
| 1497094163 | Monica Alejandra Serrano | Marriage & Family Therapist | 4660 El Cajon Blvd, Suite 210, San Diego, CA 92115-4450 | 2013-01-31 |
| 1639440142 | Aviva Betech | Student in an Organized Health Care Education/Training Program | 4660 El Cajon Blvd, Suite210, San Diego, CA 92115-4450 | 2012-01-16 |
| 1538440839 | Marisol Vizcarra | Marriage & Family Therapist | 4660 El Cajon Blvd, Suite 210, San Diego, CA 92115-4450 | 2011-08-31 |
| 1043519572 | Erica Lowery | Counselor | 4660 El Cajon Blvd, #210, San Diego, CA 92115-4450 | 2011-03-23 |
| 1871801514 | Ragine Ann Dean | Counselor | 4660 El Cajon Blvd, San Diego, CA 92115-4450 | 2010-09-15 |
| 1871809038 | Carla Marie Taylor | Counselor | 4660 El Cajon Blvd, San Diego, CA 92115-4450 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1952921850 | Proline Med Supply LLC | Durable Medical Equipment & Medical Supplies | 2667 Camino Del Rio S Ste 101, San Diego, CA 92108-3763 | 2020-04-21 |
| 1598385866 | Modern Therapies LLC | Durable Medical Equipment & Medical Supplies | 2870 4th Ave Apt 401, San Diego, CA 92103-6273 | 2020-04-16 |
| 1639707060 | Derma Hair Group | Durable Medical Equipment & Medical Supplies | 5703 Oberlin Dr Ste 302, San Diego, CA 92121-1743 | 2020-03-31 |
| 1205464658 | Proactive Care Pharmacy, LLC. | Durable Medical Equipment & Medical Supplies | 7345 Linda Vista Rd Ste E, San Diego, CA 92111-5800 | 2020-03-31 |
| 1619502788 | Inova Labs Inc. | Durable Medical Equipment & Medical Supplies | 7581 Convoy Ct, San Diego, CA 92111-1113 | 2020-03-09 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1972147825 | Binyam Gebregziaber Gebrehiwot I | Durable Medical Equipment & Medical Supplies | 4951 68th St, San Diego, CA 92115-1704 | 2019-11-04 |
| 1801438841 | Goodchoice Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 4760 Mission Gorge Pl Ste D, San Diego, CA 92120-4230 | 2019-10-10 |
| 1366090029 | Shur-in, Inc. | Durable Medical Equipment & Medical Supplies | 7452 Rowena Street, San Diego, CA 92119-1241 | 2019-08-27 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.