Organization Active NPI

Audcon Group of Companies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Montclair, CA
National Provider Identifier
1144335589
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45895 Issued in CA
Legal business name
AUDCON GROUP OF COMPANIES, INC.
Practice address
4703 Brooks St
Montclair, CA 91763-4725
Phone
(909) 625-5474
Fax
(909) 625-5830
NPI assigned
Aug 19, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Alex Uche
Title
President
Phone
(909) 717-6182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 45895 CA Primary

Addresses

Primary practice location

4703 Brooks St
Montclair, CA 91763-4725

Mailing address

4703 Brooks St
Montclair, CA 91763-4725
Phone (909) 625-5474

Other identifiers 1

IdentifierTypeStateIssuer
DME03370FMedicaidCA

National Provider Directory

National Provider Directory

Locations

4703 Brooks St
Montclair, CA 91763
Phone (909) 625-5474

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1144335589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 BROOKS ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634725",
            "telephone_number": "909-625-5474",
            "fax_number": "909-625-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 BROOKS ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634725",
            "telephone_number": "909-625-5474",
            "fax_number": "909-625-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDCON GROUP OF COMPANIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "UCHE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-717-6182"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03370F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.