Benjamin Boodaie, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A181086 Issued in CA

Practice address

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Phone

(661) 326-2168

NPI assigned

May 14, 2019

Sex

Male

Sole proprietor

No

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Culver Emergency Medical Group

  • Emergency Medicine Physician
  • Culver City, CA
  • NPI 1699907923

  CA, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Centinela Freeman Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1528333101

  CA, Emergency Medicine

  Medicare reassignment NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1619153251

  CA, Emergency Medicine

  Medicare reassignment NPD
• Team Physicians of Northern California Medical Group Inc

  • Emergency Medicine Physician
  • Pleasanton, CA
  • NPI 1649692716

  CA, Emergency Medicine

  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Care Compare group
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848

  Emergency Medicine

  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1598534216

  Emergency Medicine

  NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1639415862

  Emergency Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bakersfield Memorial Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1467538520

  Hospital

  Care Compare affiliation
• Prime Healthcare Centinela, LLC

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244

  Hospital

  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Culver Emergency Medical Group 17 clinicians

Cep America - California 1,278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036

Merit-based Incentive Payment System (MIPS)

Final score

91.89 of 100Reported as group

Quality

78.69

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.07

Improvement activities

40

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bboodaie196920@direct.uclahealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2023.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1275199374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2168",
            "fax_number": "661-326-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-326-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOODAIE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-04-25",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A181086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Bonilla
• Susan Vernetti Bonna, DDS
• Meridith Bonneau, MA
• Brigette Evon Bonnet, D.C.
• May Anne Bonnin, NP-C
• Audrey Rachel Booher, BA
• Monique Antoinette Bookout
• Pamela Bookout, PHARMD
• Erica Joy Boone
• Paradice Boone

• All providers in Bakersfield, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.