CHUKWUMA J. UDEH, MD INC. (NPI# 1841441896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841441896 |
| Entity Type | Organization |
| Organization Name | CHUKWUMA J. UDEH, MD INC. |
| Practice Address |
399 E Highland Ave Ste 415 San Bernardino CA 92404-3815 |
| Practice Telephone | 9098827554 |
| Practice Fax Number | 9098826511 |
| Mailing Telephone | 9098827554 |
| Mailing Fax Number | 9098826511 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-05-08 |
| Authorized Official Name | DR. CHUKWUMA JOHN UDEH (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 9098827554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
00G460741 | CA | Ambulatory Health Care Facilities |
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
00G460740 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G460741 | 05 | |
| CA | 00G460740 | 05 |
| Street Address |
399 E HIGHLAND AVE STE 415 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3815 |
| 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 | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487749495 | Family Planning Associates Medical Group, Inc | Clinic/Center | 855 E Hospitality Ln, San Bernardino, CA 92408-3596 | 2006-10-04 |
| 1104187103 | Family Planning Associates Medical Group,inc. | Clinic/Center | 164 W Hospitality Ln, 1a, San Bernardino, CA 92408-3316 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440276 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 301 N Prairie Ave Ste 611, Inglewood, CA 90301-4513 | 2019-07-24 |
| 1205490802 | Iradj Nazarian Md | Clinic/Center | 5043 Whittier Blvd, Los Angeles, CA 90022-3116 | 2019-04-29 |
| 1437632742 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 43845 10th St W Ste 1e, Lancaster, CA 93534-4800 | 2018-09-12 |
| 1245738194 | Soheil Lahijani M.d., A Medical Corporation | Clinic/Center | 1113 Alta Ave Ste 105, Upland, CA 91786-2803 | 2018-01-25 |
| 1093236986 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 4922 Whittier Blvd, East Los Angeles, CA 90022-1111 | 2017-06-29 |
| 1700312642 | A1 Transportation Inc | Clinic/Center | 7247 Dustin Allan Ln, Van Nuys, CA 91405-2197 | 2017-05-11 |
| 1699156331 | Oakridge Inn Rcfe LLC. | Clinic/Center | 1281 Oakridge Dr, Glendale, CA 91205-3412 | 2015-06-17 |
| 1801205703 | Lew Medical | Clinic/Center | 960 Honeywood Ln, La Habra, CA 90631-6921 | 2014-08-05 |
| 1144564527 | Banj Health Center, Inc. | Clinic/Center | 3620 Mlk Jr Blvd, Lynwood, CA 90262-2607 | 2012-11-25 |
| 1306180195 | Genghong Liu IIi | Clinic/Center | 39156 State St, Fremont, CA 94538-1436 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
| 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.