DR. CHUKWUMA JOHN UDEH (NPI# 1700976065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700976065 |
| Entity Type | Individual |
| Full Name | DR. CHUKWUMA JOHN UDEH |
| Credential | MD |
| Practice Address |
399 E Highland Ave 415 San Bernardino CA 92404-3808 |
| Practice Telephone | 9098827554 |
| Practice Fax Number | 9098826511 |
| Mailing Telephone | 9098827554 |
| Mailing Fax Number | 9098826511 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2009-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 00G460740 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G460740 | 05 |
| Street Address |
399 E HIGHLAND AVE 415 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292935 | William W Goral | Otolaryngology | 399 E Highland Ave, Ste 503, San Bernardino, CA 92404-3873 | 2005-06-02 |
| 1831650563 | Dawn M. Terashita, PC | Preventive Medicine | 399 E Highland Ave, Suite 117, San Bernardino, CA 92404-3808 | 2019-03-26 |
| 1114378171 | Thomas Sin Young Chung | Nurse Practitioner | 399 E Highland Ave, Suite 307, San Bernardino, CA 92404-3808 | 2016-06-30 |
| 1972960714 | Robert Williamsen | Pharmacist | 399 E Highland Ave, Ste 103, San Bernardino, CA 92404-3808 | 2016-01-25 |
| 1649698812 | Victoria Kachaturian | Registered Nurse | 399 E Highland Ave, Suite 324, San Bernardino, CA 92404-3808 | 2014-04-03 |
| 1386061364 | Apex Pediatrics, Inc | Clinical Nurse Specialist | 399 E Highland Ave, Suite 329, San Bernardino, CA 92404-3808 | 2014-03-27 |
| 1205262706 | Nadia M Nemeh | Dietitian, Registered | 399 E Highland Ave, Ste 427, San Bernardino, CA 92404-3808 | 2013-09-17 |
| 1093088064 | Nancy Samudio Md & Philis D Ransom Md, Inc, A Professional Medical Cor | Obstetrics & Gynecology | 399 E Highland Ave, Suite 516, San Bernardino, CA 92404-3808 | 2012-02-21 |
| 1487961421 | Pro Office Inc | General Practice | 399 E Highland Ave, 309, San Bernardino, CA 92404-3808 | 2010-09-13 |
| 1700103561 | Inland Empire Medical Network | Internal Medicine | 399 E Highland Ave, Suite 110, San Bernardino, CA 92404-3808 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982024436 | Pouya Abhari | Obstetrics & Gynecology | 1800 N. Western Ave, Suite 204, San Bernardino, CA 92411-1353 | 2014-04-23 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1053599936 | Jeanne M. Rorabeck | Obstetrics & Gynecology | 172 W 3rd St, San Bernardino, CA 92415 | 2008-02-04 |
| 1811197536 | Chang Li Lee | Obstetrics & Gynecology | 399 E Highland Ave Ste 223, San Bernardino, CA 92404-3864 | 2007-07-20 |
| 1104835388 | Peter T Yang | Obstetrics & Gynecology | 399 E Highland Ave Ste 516, San Bernardino, CA 92404-3875 | 2006-08-05 |
| 1174550511 | Morton Paul Hibbert | Obstetrics & Gynecology | 665 N D St, San Bernardino, CA 92401-1109 | 2006-06-28 |
| 1871553347 | Woman To Woman Ob Gyn Medical Grp | Obstetrics & Gynecology | 249 E Highland Ave, Patricia, San Bernardino, CA 92404-3707 | 2006-03-27 |
| 1912561325 | Nelly Sandoval | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411-1353 | 2019-05-01 |
| 1588229934 | Martha G Sanchez | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411-1353 | 2019-05-01 |
| 1962898254 | Marie Romero | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411-1353 | 2015-04-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.