Individual provider Active NPI

Asad Julian Bedran, D.O

  • Family Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1306200563
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A15895 Issued in CA
Practice address
8570 W Sunset Blvd Ste 1.5
West Hollywood, CA 90069-2359
Phone
(310) 500-2041
Fax
(323) 305-7149
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A15895 CA Primary

Addresses

Primary practice location

8570 W Sunset Blvd Ste 1.5
West Hollywood, CA 90069-2359

Mailing address

130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791

Other practice location 1

12291 Whittier Blvd
500
Whittier, CA 90606
Phone (562) 698-2541

Other practice location 2

27231 La Paz Rd Ste A
Laguna Niguel, CA 92677-3627
Phone (949) 643-9111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address abedran1139706@oc.providencedirect.org
Direct Messaging Address asadbedran@sjhhandhmg.allscriptsdirect.net

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
I20190722001478 CA Practitioner - Family Practice 4082940580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

24321 Avenida de la Carlota
Laguna Hills, CA 92653-3681
Phone (949) 204-3006

26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384

27231 La Paz Rd
Suite a
Laguna Niguel, CA 92677-3627
Phone (949) 643-9111

28881 Airoso St
Rancho Mission Viejo, CA 92694-2487
Phone (949) 304-1716

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health Orange County Home health agency, Anaheim, CA, CCN 057600
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15895CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients

Locations

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

27231 La Paz Rd
Ste A
Laguna Niguel, CA 92677
Phone (949) 643-9111

26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671

26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

8570 W Sunset Blvd
Ste 15
West Hollywood, CA 90069
Phone (310) 500-2041

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abedran1139706@oc.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1306200563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SUTTER ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044009",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8570 W SUNSET BLVD STE 1.5",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692359",
            "telephone_number": "310-500-2041",
            "fax_number": "323-305-7149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12291 Whittier Blvd",
            "address_2": "500",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "90606",
            "country_code": "US",
            "telephone_number": "562-698-2541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27231 La Paz Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926773627",
            "country_code": "US",
            "telephone_number": "949-643-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDRAN",
        "first_name": "ASAD",
        "middle_name": "JULIAN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A15895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abedran1139706@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "27231 La Paz Rd Ste A",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926773627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asadbedran@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "27231 La Paz Rd Ste A",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926773627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.