NPIMap

Organization Active NPI

Yaghoub Badymoghaddam MD Inc

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1427248368
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
YAGHOUB BADYMOGHADDAM MD INC
Practice address
5726 E Olympic Blvd
Los Angeles, CA 90022-5120
Phone
(323) 727-7000
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Yaghoub Badymoghaddam, M.D.NPI 1932225208
Title
President
Phone
(323) 727-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5726 E Olympic Blvd
Los Angeles, CA 90022-5120

Mailing address

5726 E Olympic Blvd
Los Angeles, CA 90022-5120
Phone (323) 727-7000

Other identifiers 1

IdentifierTypeStateIssuer
11111OtherCAWAITING FOR MEDI-CAL NUMB

Other names 1

  • Commerce Medical Clinic, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

5726 E Olympic Blvd
Commerce, CA 90022
Phone (323) 727-7000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1427248368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900225120",
            "telephone_number": "323-727-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900225120",
            "telephone_number": "323-727-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAGHOUB BADYMOGHADDAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "BADYMOGHADDAM",
        "authorized_official_first_name": "YAGHOUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-727-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAITING FOR MEDI-CAL NUMB",
            "identifier": "11111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commerce Medical Clinic, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.