Patrick S. Udoidiong

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATRICK S. UDOIDIONG

Doing business as

Equipped Medical Supply

Practice address

181 S Wineville Ave
Suite J
Ontario, CA 91761-7887

Phone

(909) 390-5636

Fax

(909) 390-5646

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Patrick S Udoidiong

Title

Owner

Phone

(909) 390-5636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Equipped Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1770690265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S WINEVILLE AVE",
            "address_2": "SUITE J",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617887",
            "telephone_number": "909-390-5636",
            "fax_number": "909-390-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S WINEVILLE AVE",
            "address_2": "SUITE J",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617887",
            "telephone_number": "909-390-5636",
            "fax_number": "909-390-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK S. UDOIDIONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "UDOIDIONG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-390-5636"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623369",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15646680I / 02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equipped Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mukesh Patel, DDS
• Nikita Vinu Patel I
• Rohini A. Patel, M.D.
• Sunal Patel, M.D.
• Urmila M Patel, M.D.
• Amy Rose Patrick
• Danita Patterson
• Thea Patterson
• Melissa Ann Patton
• Paul Quinto DDS Inc

• Durable Medical Equipment & Medical Supplies in Ontario, CA
• Providers in Ontario, 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 Oct 20, 2010; 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.