Individual provider Active NPI

Nicholas Sarkodie Acheampong, IDC

  • Independent Duty Corpsman
  • San Diego, CA
National Provider Identifier
1558600718
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
3502 Attu Rd
.BLDG 806
San Diego, CA 92155-5506
Phone
(619) 522-7650
NPI assigned
Feb 7, 2013
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X NU Primary

Addresses

Primary practice location

3502 Attu Rd
.BLDG 806
San Diego, CA 92155-5506

Mailing address

3502 Attu Rd
.BLDG 806
San Diego, CA 92155-5506
Phone (619) 522-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1558600718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 ATTU RD",
            "address_2": ".BLDG 806",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555506",
            "telephone_number": "619-522-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 ATTU RD",
            "address_2": ".BLDG 806",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555506",
            "telephone_number": "619-522-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHEAMPONG",
        "first_name": "NICHOLAS",
        "middle_name": "SARKODIE",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.