Abg Med Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

C3484675 Issued in CA

Legal business name

ABG MED GROUP, INC.

Practice address

4660 El Cajon Blvd
Suite 106
San Diego, CA 92115-4450

Phone

(619) 255-1564

NPI assigned

Aug 30, 2012

Last updated

Aug 30, 2012By 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

Eno E Udi

Title

Ceo

Phone

(619) 255-1564

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1265781603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 EL CAJON BLVD",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 EL CAJON BLVD",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154450",
            "telephone_number": "619-255-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABG MED GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "UDI",
        "authorized_official_first_name": "ENO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-255-1564"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "C3484675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerianne Abernethy, LVN
• Julianne Mae Llado Abesamis, RN
• Wilfredo R. Abesamis, M.D.
• Katrina Cassandra Abeto
• James Alfonso Abeyta, IDC
• Abhay Gupta, M.D., Inc. (Gupta Plastic Surgery)
• Joanna Abhay
• Abi P&O Inc
• Cristabel Abi-Hanna, MS, CRC, APCC
• Genevieve Abi-Nahed, DMD

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, 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 Aug 30, 2012; 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.