Mohammad Saleh Baddawi

Key facts

NPI

1013734359

Entity type

Individual (NPI type 1)

Primary specialty

Driver 172A00000X

License

00852244 (CA)

Practice address

1708 Woodhaven Cir
Roseville, CA 95747-4615

Phone

(916) 865-8692

NPI assigned

Sep 25, 2024

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 25, 2024.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013734359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 WOODHAVEN CIR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474615",
            "telephone_number": "916-865-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 WOODHAVEN CIR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957474615",
            "telephone_number": "916-865-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDAWI",
        "first_name": "MOHAMMAD",
        "middle_name": "SALEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "CA",
            "license": "00852244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

• Tracy Bacchus
• Patricia Latham Bach, PSYD, RN
• Isabella Bacogiannis
• Judy Danielle Bacus
• Irina Badalyan, MD
• Raman Kaur Badesha
• Sanvir Singh Badyal, DDS
• Alyssa Marie Baena
• Herma Joey Echavez Bag-Ao, APN
• Brandy Luissha Baggett

All providers in Roseville, CA · Driver in California