Individual provider Active NPI

Linda Barkodar, M.D.

  • Internal Medicine Physician
  • South Gate, CA
National Provider Identifier
1124288147
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A107742 Issued in CA
Practice address
2809 Tweedy Blvd
South Gate, CA 90280-5538
Phone
(323) 567-9909
NPI assigned
Jun 12, 2008
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A107742 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2809 Tweedy Blvd
South Gate, CA 90280-5538

Mailing address

465 N Kilkea Dr
Los Angeles, CA 90048-2228
Phone (310) 422-6100

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
I20101103000664 CA Practitioner - Internal Medicine 6406040443 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107742CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Concierge Doctor, Inc CurrentSince Sep 22, 2018 Accepting new patients

Locations

9400 Brighton Way
Ste 303
Beverly Hills, CA 90210
Phone (310) 499-8116

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1124288147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N KILKEA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482228",
            "telephone_number": "310-422-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805538",
            "telephone_number": "323-567-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKODAR",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107742",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.