Sonia Badreshia, MD
Individual provider Active NPI Dermatology Physician · Danville, CA
NPI 1407894074 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1407894074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- MD 428182 (PA)
- Practice address
- 360 Rose Ave
Danville, CA 94526-3320 - Phone
- (925) 389-7196
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Phone (818) 719-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 58 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071217000656 | CA | Practitioner - Dermatology | 8729081294 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 428182 | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology & Cosmetics Laser Care a Medical Corporation | Dermatology | Current |
Accepting new patients |
| Skin and Beauty Center (SBC), Inc. | Current |
Accepting new patients | |
| Northridge Dermatology Associates Medical Group Inc | Dermatology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Skin and Beauty Center Inc | Dermatology | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
4100 Empire Dr
Ste 120
Bakersfield, CA 93309
Phone (661) 254-3686
191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126
9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884
655 W Avenue Q
Ste B
Palmdale, CA 93551
Phone (661) 228-0680
28212 Kelly Johnson Pkwy
Ste 245
Valencia, CA 91355
Phone (661) 254-3686
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
7345 Medical Center Dr
Ste 310
West Hills, CA 91307
Phone (818) 884-8044
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD 428182 | PA | Yes |
Addresses
Primary practice location
360 Rose Ave
Danville, CA 94526-3320
Mailing address
360 Rose Ave
Danville, CA 94526-3320
Phone (925) 389-7196
Other providers in Danville, CA
- Carol A Axton
- Robert Ayala M.S.
- Noyan Aynechi
- Ayutherapy LLC
- Channing Azzolino
- Diane Lindsey Baggett
- Jontae Bailey
- Asha Kiran Bajaj
- Paul Lawrence Bancroft
- Kiersten Banke
All providers in Danville, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.