Organization Active NPI

Kwabena Adubofour, MD Inc

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1386860765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52394 Issued in AR
Legal business name
KWABENA ADUBOFOUR, MD INC
Practice address
2524 E Main St
Stockton, CA 95205-6523
Phone
(800) 249-9497
Fax
(209) 845-1364
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kwabena Adubofour, MDNPI 1033142088
Title
Owner
Phone
(800) 249-9497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A52394 AR Primary

Addresses

Primary practice location

2524 E Main St
Stockton, CA 95205-6523

Mailing address

PO Box 188
Oakdale, CA 95361-0188
Phone (800) 249-9497

National Provider Directory

National Provider Directory

Locations

2524 E Main St
Stockton, CA 95205
Phone (209) 466-4894

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386860765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953610188",
            "telephone_number": "800-249-9497",
            "fax_number": "209-845-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E MAIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952056523",
            "telephone_number": "800-249-9497",
            "fax_number": "209-845-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWABENA ADUBOFOUR, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADUBOFOUR",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-249-9497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "A52394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.