Brookdale Medical Center Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OA44541 Issued in CA

Legal business name

BROOKDALE MEDICAL CENTER INC

Practice address

2809 Tweedy Blvd
South Gate, CA 90280

Phone

(323) 567-9909

Fax

(323) 567-9929

NPI assigned

Feb 8, 2007

Last updated

Dec 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Barkodar, MD

Title

President

Phone

(323) 567-9909

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tweedy Urgent Care Inc.Apc

  • Urgent Care Clinic/Center
  • South Gate, CA
  • NPI 1629470489

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Barkodar, M.D.

  • Internal Medicine Physician
  • South Gate, CA
  • NPI 1124288147
  Medicare reassignment

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1265572903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "90280",
            "telephone_number": "323-567-9909",
            "fax_number": "323-567-9929"
        },
        {
            "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": "90280",
            "telephone_number": "323-567-9909",
            "fax_number": "323-567-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKDALE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "BARKODAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-567-9909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "OA44541",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "OA44541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bonner, DDS
• Yueh-Guei Sheu Book, PT
• Stephanie Boorstin Casasola, DO
• Boone Navath Bou, PHARM.D
• Ricardo Bravo, CNIM
• Leny Jovana Brotherton, DDS
• Lucas Cadena
• Cali Med Corporation
• Joanna Campos
• Carewest Non-Emergency Services, LLC

• Pediatrics Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.