Godwin Abodoh

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103706 Issued in CA

Legal business name

GODWIN ABODOH

Doing business as

ABA Medical Supply

Practice address

1761 N D St
San Bernardino, CA 92405-4417

Phone

(909) 881-6013

NPI assigned

Sep 1, 2006

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Godwin Emonena Abodoh

Title

Owner

Phone

(909) 881-6013

Specialties & licenses 1

Addresses

Other names 1

• ABA MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1265534309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054417",
            "telephone_number": "909-881-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054417",
            "telephone_number": "909-881-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN ABODOH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "ABODOH",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "EMONENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-881-6013"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jade Godley
• Godoy DDS Inc (Town Center Dental Office)
• Andrew Godoy
• Andrew Jacob Godoy
• Rojeania Godsey-Erb
• Iliya Goldberg, M.D.
• Golden Coast Mso, Inc.
• Golden Medical Services
• Golden Valley Medical & Oxygen Service
• Goldencrest Primary Care

• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.