Individual provider Active NPI

Bernadette L Badua, MSW

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1275157687
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
90398 Issued in CA
Practice address
1526 Brookhollow Dr Ste 80
Santa Ana, CA 92705-5421
Phone
(951) 310-0601
NPI assigned
Jun 1, 2020
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 90398 CA Primary

Addresses

Primary practice location

1526 Brookhollow Dr Ste 80
Santa Ana, CA 92705-5421

Mailing address

1506 Brookhollow Dr # 80
Santa Ana, CA 92705-5405
Phone (951) 310-0601

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CPRS Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90398CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1275157687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BROOKHOLLOW DR # 80",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055405",
            "telephone_number": "951-310-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BROOKHOLLOW DR STE 80",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055421",
            "telephone_number": "951-310-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADUA",
        "first_name": "BERNADETTE",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CPRS",
            "affiliation": "N",
            "endpointDescription": "CPRS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1526 Brookhollow Dr Ste 80",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927055421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.