NPIMap

Individual provider Active NPI

Bina Ashraf Kamdar, MD

  • Internal Medicine Physician
  • Azusa, CA
National Provider Identifier
1063474583
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50638 Issued in CA
Practice address
520 W Foothill Blvd
Azusa, CA 91702-2343
Phone
(626) 334-1611
Fax
(626) 334-1677
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50638 CA Primary

Addresses

Primary practice location

520 W Foothill Blvd
Azusa, CA 91702-2343

Mailing address

520 West Foothill Blvd
Azusa, CA 91702-2343
Phone (626) 334-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000382 CA Practitioner - Internal Medicine 5597719724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bina a Kamdar MD, Inc.Group PAC ID 5395872808, 2 clinicians

Practice addresses (Care Compare)

520 W Foothill Blvd
Azusa, CA 91702-2343
Phone (626) 334-1611

Hospital & facility affiliations

  • Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bina a Kamdar MD, Inc. Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

520 W Foothill Blvd
Azusa, CA 91702
Phone (626) 334-1611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIHIDD/Endpoint/FIHIDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Infinity Care of East laLos Angeles, CA, CCN 056063 Skilled nursing facility 5% Or Greater Direct Ownership Interest (20%)
Corporate Officer (20%)
Corporate Director (20%)		 Aug 4, 2007
Aug 4, 2007
Aug 4, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1063474583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WEST FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022343",
            "telephone_number": "626-334-1611",
            "fax_number": "626-334-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022343",
            "telephone_number": "626-334-1611",
            "fax_number": "626-334-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMDAR",
        "first_name": "BINA",
        "middle_name": "ASHRAF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azusa, CA

Sources for this page

Verify at the official NPI Registry.