Organization Active NPI

Badeia a. Morsy M.D. Medical Corporation

  • Legal Medicine
  • Pleasanton, CA
National Provider Identifier
1487830063
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
207R00000X Issued in CA
Legal business name
BADEIA A. MORSY M.D. MEDICAL CORPORATION
Practice address
4460 Black Ave
Suite G
Pleasanton, CA 94566-6142
Phone
(925) 846-1123
Fax
(925) 846-9372
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Badeia Abdel Morsy, M.D.
Title
President
Phone
(925) 846-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 207R00000X CA Primary

Addresses

Primary practice location

4460 Black Ave
Suite G
Pleasanton, CA 94566-6142

Mailing address

4460 Black Ave
Suite G
Pleasanton, CA 94566-6142
Phone (925) 846-1123

Other identifiers 3

IdentifierTypeStateIssuer
P00062374OtherCARAILROAD MEDICARE
00A667700OtherCAMEDICARE/NHIC
00A667700MedicaidCA

National Provider Directory

National Provider Directory

Locations

4460 Black Ave
Ste G
Pleasanton, CA 94566
Phone (925) 495-1438

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1487830063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE",
            "address_2": "SUITE G",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666142",
            "telephone_number": "925-846-1123",
            "fax_number": "925-846-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLACK AVE",
            "address_2": "SUITE G",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666142",
            "telephone_number": "925-846-1123",
            "fax_number": "925-846-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADEIA A. MORSY M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MORSY",
        "authorized_official_first_name": "BADEIA",
        "authorized_official_middle_name": "ABDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-846-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00062374",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/NHIC",
            "identifier": "00A667700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A667700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.