Active NPI
Kwabena Adubofour, MD Inc
- Internal Medicine Physician
- Stockton, CA
National Provider Identifier
1386860765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52394
- 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, 2020
- 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
- Dr. Kwabena Adubofour, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1033142088
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.