Organization Active NPI

ABA Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • San Bernardino, CA
National Provider Identifier
1164607289
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ABA MEDICAL TRANSPORTATION
Practice address
1254 S Waterman Ave Ste 40
San Bernardino, CA 92408-2858
Phone
(909) 881-8325
Fax
(909) 881-6045
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Mr. Godwin Abodoh
Title
Managing Director
Phone
(909) 881-8325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1254 S Waterman Ave Ste 40
San Bernardino, CA 92408-2858

Mailing address

1254 S Waterman Ave Ste 40
San Bernardino, CA 92408-2858
Phone (909) 881-8325

National Provider Directory

National Provider Directory

Locations

1254 S Waterman Ave
Ste 40
San Bernardino, CA 92408
Phone (909) 881-8325

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1164607289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 S WATERMAN AVE STE 40",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082858",
            "telephone_number": "909-881-8325",
            "fax_number": "909-881-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 S WATERMAN AVE STE 40",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082858",
            "telephone_number": "909-881-8325",
            "fax_number": "909-881-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "ABODOH",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "909-881-8325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.