Chukwuma J. Udeh, MD Inc.

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

00G460740 Issued in CA

Legal business name

CHUKWUMA J. UDEH, MD INC.

Practice address

399 E Highland Ave Ste 415
San Bernardino, CA 92404-3815

Phone

(909) 882-7554

Fax

(909) 882-6511

NPI assigned

Oct 8, 2008

Last updated

May 8, 2009By 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

Dr. Chukwuma John Udeh, MDNPI 1700976065

Title

Corporation President

Phone

(909) 882-7554

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Chukwuma John Udeh, MD

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
  • NPI 1700976065
  NPD (past) Authorized official

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1841441896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 415",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043815",
            "telephone_number": "909-882-7554",
            "fax_number": "909-882-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 415",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043815",
            "telephone_number": "909-882-7554",
            "fax_number": "909-882-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUMA J. UDEH, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "UDEH",
        "authorized_official_first_name": "CHUKWUMA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "909-882-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "00G460741",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "00G460740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G460741",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G460740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Lawrence Christiansen, PTA
• Eric Christopherson, M.A.
• Franklin M Chu, MD
• Jody Chu
• Yu-Ling Chu
• Melissa S Chun, DDS
• Samuel K Chun, PHARM. D.
• Clarence J Chung, PHARM.D.
• Daniel Chung
• Jae Chung

• Ambulatory Family Planning Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Ambulatory Family Planning Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.