Organization Active NPI

Chona Badar Green M D a Professional Corporation

  • Adult Mental Health Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1518225002
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
A53508 Issued in CA
Legal business name
CHONA BADAR GREEN M D A PROFESSIONAL CORPORATION
Practice address
23121 Plaza Pointe Dr Ste 150
Laguna Hills, CA 92653-1468
Phone
(949) 586-4113
Fax
(949) 837-5002
NPI assigned
May 2, 2012
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Dr. Chona Badar Green, M.D.NPI 1437219441
Title
President
Phone
(949) 586-4113

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
Adult Mental Health Clinic/Center 261QM0850X A53508 CA Primary

Addresses

Primary practice location

23121 Plaza Pointe Dr Ste 150
Laguna Hills, CA 92653-1468

Mailing address

23121 Plaza Pointe Dr Ste 150
Laguna Hills, CA 92653-1468
Phone (949) 586-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121119000104 CA Part B Supplier - Clinic/Group Practice 9234380361 Receives reassigned benefits from 2 practitioners
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

23121 Plaza Pointe Dr
Ste 150
Laguna Hills, CA 92653
Phone (949) 586-4113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1518225002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 PLAZA POINTE DR STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531468",
            "telephone_number": "949-586-4113",
            "fax_number": "949-837-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 PLAZA POINTE DR STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531468",
            "telephone_number": "949-586-4113",
            "fax_number": "949-837-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONA BADAR GREEN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHONA",
        "authorized_official_middle_name": "BADAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-586-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A53508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.