Individual provider Active NPI

Courtney C Badour, DO

  • Family Medicine Physician
  • Chico, CA
National Provider Identifier
1093718637
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8114 Issued in CA
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

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00074972OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190522003009 CA Order and Referring Only - Family PracticePractitioner - Family Practice 6901790377

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Medical Group, Inc. Family Medicine PastSince Jan 1, 2004 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.

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

Verify at the official NPI Registry.