Ntiedo Johnson Inyang

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103425 Issued in CA

Legal business name

NTIEDO JOHNSON INYANG

Practice address

3139 San Pablo Ave
Oakland, CA 94608-4533

Phone

(510) 595-8474

Fax

(510) 595-8410

NPI assigned

Jul 28, 2006

Last updated

Jul 14, 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

Mr. Ntiedo Johnson Inyang

Title

Owner / Ceo

Phone

(510) 595-8474

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Medical Care Other name

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1649284589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084533",
            "telephone_number": "510-595-8474",
            "fax_number": "510-595-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084533",
            "telephone_number": "510-595-8474",
            "fax_number": "510-595-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTIEDO JOHNSON INYANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "INYANG",
        "authorized_official_first_name": "NTIEDO",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "510-595-8474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raphaelle Lamoureux Novotny
• Allie Rae Nowak, PA-C
• Monica Z. Nowakowski-Carlson, LCSW
• Kristen Nowakowski
• Lynn Tabb Noyce, NURSE PRACTITIONER
• Ntu Wellness Center
• Nuevo Amanecer
• Audrey Lynne Nulman, PHD
• Shary Anne Nunan, PH.D.
• Jeanette Lenay Nunes, PMHNP-BC

• Durable Medical Equipment & Medical Supplies in Oakland, CA
• Providers in Oakland, 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 Jul 14, 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.