Active NPI
Courtney C Badour, DO
- Family Medicine Physician
- Chico, CA
National Provider Identifier
1093718637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8114
- Practice address
- 280 Cohasset Rd
Chico, CA 95926 - Phone
- (530) 879-5000
- Fax
- (530) 879-5025
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8114 | CA | Primary |
Addresses
Primary practice location
280 Cohasset Rd
Chico, CA 95926
Mailing address
280 Cohasset Rd
Chico, CA 95926-2210
Phone (530) 879-5000
Other practice location 1
6585 Clark Rd
Ste 240
Paradise, CA 95969-3500
Phone (530) 877-0762
Other practice location 2
6585 Clark Rd
Ste 240
Paradise, CA 95969-3500
Phone (530) 877-0762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00074972 | Other | MEDICARE RAILROAD # |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190522003009 | CA | Order and Referring Only - Family Practice | 6901790377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Paradise, CA
- NPI 1235111006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1093718637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959262210",
"telephone_number": "530-879-5000",
"fax_number": "530-879-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "95926",
"telephone_number": "530-879-5000",
"fax_number": "530-879-5025"
}
],
"practiceLocations": [
{
"address_1": "6585 Clark Rd",
"address_2": "Ste 240",
"address_purpose": "LOCATION",
"city": "Paradise",
"state": "CA",
"postal_code": "959693500",
"country_code": "US",
"telephone_number": "530-877-0762",
"fax_number": "530-876-2209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6585 Clark Rd",
"address_2": "Ste 240",
"address_purpose": "LOCATION",
"city": "Paradise",
"state": "CA",
"postal_code": "959693500",
"country_code": "US",
"telephone_number": "530-877-0762",
"fax_number": "530-876-2209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADOUR",
"first_name": "COURTNEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD #",
"identifier": "P00074972",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.