MR. NTIEDO JOHNSON INYANG (NPI# 1356614481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356614481 |
| Entity Type | Individual |
| Full Name | MR. NTIEDO JOHNSON INYANG |
| Practice Address |
3139 San Pablo Ave. Oakland CA 94608-4533 |
| Practice Telephone | 5105958474 |
| Practice Fax Number | 5105958410 |
| Mailing Telephone | 5105958474 |
| Mailing Fax Number | 5105958410 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 551-361-0001 | CA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 2133439 | 05 |
| Street Address |
3139 SAN PABLO AVE. |
| City | OAKLAND |
| State | CA |
| Zip Code | 94608-4533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093363483 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2650 Broadway, Oakland, CA 94612-3190 | 2019-08-28 |
| 1639647324 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 826 Kennedy Memorial Dr, Oakland, ME 04963-4825 | 2018-11-12 |
| 1518454602 | Breathe Grace Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 221 S 3rd St, Oakland, MD 21550-1511 | 2018-04-16 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1891172292 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2964 Broadway, Oakland, CA 94611-5711 | 2015-05-05 |
| 1457761306 | Oakland Medical Market Inc | Durable Medical Equipment & Medical Supplies | 433 Hegenberger Rd, Suite C, Oakland, CA 94621-1448 | 2014-04-30 |
| 1639598840 | Comforen Medical Equipment | Durable Medical Equipment & Medical Supplies | 388 9th Street, Ste 127, Oakland, CA 94607-4290 | 2014-04-15 |
| 1255687075 | Clive Scullion | Durable Medical Equipment & Medical Supplies | 4400 Harbord Dr, Oakland, CA 94618-2207 | 2012-07-30 |
| 1396039624 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 6310 College Ave, Oakland, CA 94618-1332 | 2011-06-03 |
| 1164725420 | A-1 Service Center | Durable Medical Equipment & Medical Supplies | 45 Grand Ave, Oakland, CA 94612-3727 | 2010-12-08 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.