Mohamed Badr, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56397 Issued in CA

Practice address

703 W Graham Ave
Suite 101
Lake Elsinore, CA 92530-3514

Phone

(951) 566-6764

NPI assigned

Jul 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11784/brand/1/csg/1/fhir/r4

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.

• M Badr MD Inc

  • Internal Medicine Physician
  • Lake Elsinore, CA
  • NPI 1902993256
  NPD (past) Authorized official
• Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1881633287
  NPD (past)
• Central Valley Urgent Care Medical Group Inc

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1942294327
  NPD (past)
• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)
• John C Weaver MD a Professional Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1366577744
  NPD (past)
• Santa Ana Clinica Medica General Medical Center Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1104873686
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053334524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W GRAHAM AVE",
            "address_2": "SUITE 101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303514",
            "telephone_number": "951-566-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W GRAHAM AVE",
            "address_2": "SUITE 101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303514",
            "telephone_number": "951-566-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADR",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Strovenska Ayala
• Erika Azcue
• B. Deirmenjian, DDS, Inc. (Smiles West)
• Frances Aishanice Bacalso
• Cami Badal
• Saif U Bajwa, MD
• Jamela Lavina Barber, DPT
• Leah Myhanh Barden, MS.EDUCATION
• Leslie Carol Bardessono, DO
• Johnathan West Barker, MSW, ASCW

• Internal Medicine Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.