Individual provider Active NPI

Monika Kumari Badyal, CFNP, DNP

  • Family Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1053681932
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21377 Issued in CA
Practice address
3535 W Commonwealth Ave
Fullerton, CA 92833-2821
Phone
(949) 243-7788
Fax
(949) 243-7788
NPI assigned
Jan 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21377 CA Primary

Addresses

Primary practice location

3535 W Commonwealth Ave
Fullerton, CA 92833-2821

Mailing address

3535 W Commonwealth Ave
Fullerton, CA 92833-2821
Phone (949) 243-7788

Other practice location 1

1815 Carnegie Ave
Santa Ana, CA 92705-5527
Phone (949) 243-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104002870 CA Practitioner - Nurse Practitioner 0244640167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21377CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Jul 15, 2025 Accepting new patients
Clarke Lew Medical Corp CurrentSince Jul 9, 2022 Accepting new patients

Locations

3535 W Commonwealth Ave
Fullerton, CA 92833
Phone (949) 243-7788

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

1815 Carnegie Ave
Santa Ana, CA 92705
Phone (949) 243-7788

Interoperability endpoints

  • Direct secure messaging: illuminationfoundationmedicalgroup.monikabadyal@159944.advancedmd-direct.com
  • Direct secure messaging: monika.badyal.1@22909.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22909/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1053681932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332821",
            "telephone_number": "949-243-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332821",
            "telephone_number": "949-243-7788",
            "fax_number": "949-243-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Carnegie Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055527",
            "country_code": "US",
            "telephone_number": "949-243-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADYAL",
        "first_name": "MONIKA",
        "middle_name": "KUMARI",
        "credential": "CFNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.