Individual provider Active NPI

Bonnie Michelle Badii, DDS

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1508902198
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53630 Issued in CA
Practice address
480 4TH Ave Ste 314
Chula Vista, CA 91910-4403
Phone
(619) 425-8060
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53630CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Mora D.D.S. Past Accepting new patients
Bonnie M. Badii, D.D.S., Dental Professional Corporation Past Accepting new patients
Victor J. Mora D.D.S., Apc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53630 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

480 4TH Ave Ste 314
Chula Vista, CA 91910-4403

Mailing address

1942 Port Claridge PL
Newport Beach, CA 92660-6612
Phone (619) 961-7456

Other practice location 1

480 4th Ave Ste 310
Chula Vista, CA 91910-4403
Phone (619) 425-8060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2018.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1508902198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 PORT CLARIDGE PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606612",
            "telephone_number": "619-961-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 314",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104403",
            "telephone_number": "619-425-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 4th Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104403",
            "country_code": "US",
            "telephone_number": "619-425-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADII",
        "first_name": "BONNIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.