Ali Reza Bamdad, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

DC24280 Issued in CA

Practice address

1435 Huntington Ave Ste 330
South San Francisco, CA 94080-5966

Phone

(650) 794-1800

Fax

(650) 794-1808

NPI assigned

Nov 9, 2006

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alex Bamdad Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1235200668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 HUNTINGTON AVE STE 330",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805966",
            "telephone_number": "650-794-1800",
            "fax_number": "650-794-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 HUNTINGTON AVE STE 330",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805966",
            "telephone_number": "650-794-1800",
            "fax_number": "650-794-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMDAD",
        "first_name": "ALI REZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC24280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "BAMDAD",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexis Bright Baker, MFT INTERN #80201
• Jnyssienne Baker, DPT
• Jerry Bales, PHARM.D.
• Gary G. Balestin, PHD, ABPN, LMFT
• Vicken Harout Balian
• Kiiko Y Baptista
• Leonidez Baquiran
• Sofia Diana Barahona Bonilla
• Patricio Barajas, MD
• James Patrick Barba

• Neurology Chiropractor in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.