Individual provider Active NPI

Joseph Effiong Udi, CAADAC

  • Addiction (Substance Use Disorder) Counselor
  • Compton, CA
National Provider Identifier
1861641300
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RS4064 Issued in CA
Practice address
1315 N Bullis Rd Ste 8
Compton, CA 90221-1652
Phone
(310) 635-8822
Fax
(310) 635-8828
NPI assigned
Sep 9, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RS4064 CA Primary

Addresses

Primary practice location

1315 N Bullis Rd Ste 8
Compton, CA 90221-1652

Mailing address

1315 N Bullis Rd Ste 8
Compton, CA 90221-1652
Phone (310) 635-8822

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

State licenses

LicenseStateTypeSpecialty
RS4064CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Path Counseling Past Accepting new patients
New Resource Institute Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1861641300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N BULLIS RD STE 8",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211652",
            "telephone_number": "310-635-8822",
            "fax_number": "310-635-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N BULLIS RD STE 8",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902211652",
            "telephone_number": "310-635-8822",
            "fax_number": "310-635-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDI",
        "first_name": "JOSEPH",
        "middle_name": "EFFIONG",
        "name_prefix": "Mr.",
        "credential": "CAADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RS4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.