Active NPI
ABA Medical Transportation
- Non-emergency Medical Transport (VAN)
- San Bernardino, CA
National Provider Identifier
1164607289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.