Mohamad Bachir Kadri, M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

A52479 Issued in CA

Practice address

1155 N Vermont Ave
Suite 203
Los Angeles, CA 90029-1753

Phone

(323) 912-9127

Fax

(323) 912-9128

NPI assigned

Jul 8, 2006

Last updated

Oct 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mohamad.kadrimd.p1@direct.ccchcenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anphon Corporation

  dba Anphon Medical Center

  • Community Health Clinic/Center
  • Inglewood, CA
  • NPI 1801202676
  Medicare reassignment NPD
• Banj Health Center, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1518036565
  Medicare reassignment NPD
• Benevolence Industries Incorporated

  dba Benevolence Health Centers

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1457781676
  NPD (past)
• Cedars Towers Surgical Medical Group

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1881633287
  NPD (past)
• Clinica Medica la Esperanza

  • Nephrology Physician
  • Maywood, CA
  • NPI 1336464494
  NPD (past)
• Columbia Medical Group, Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1336365576
  NPD (past)
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  NPD (past)
• Dr. Rodney Barron Medical Clinic, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1578891867

  General Practice

  NPD (past)
• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)
• Family & Urgent Care Medical Center

  • Point of Service
  • Los Angeles, CA
  • NPI 1477848141
  NPD (past)
• Gardena Diagnostic, Inc.

  • Physiological Laboratory
  • Los Angeles, CA
  • NPI 1376597773
  NPD (past)
• Jose Gabriel Castellanos, MD, Inc.

  dba Covina Urgent Care

  • Urgent Care Clinic/Center
  • Covina, CA
  • NPI 1073905105
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1538192166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 GALE AVE APT D",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503654",
            "telephone_number": "310-978-0882",
            "fax_number": "818-957-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N VERMONT AVE",
            "address_2": "SUITE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291753",
            "telephone_number": "323-912-9127",
            "fax_number": "323-912-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRI",
        "first_name": "MOHAMAD",
        "middle_name": "BACHIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A52479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asher Kadosh
• Jasmine Kadosh
• Joseph Kadosh
• Kelcie Kadowaki
• Jane M Kadoya, OD
• Carmel Kadrnka
• Sarah Kady, PA-C
• Diana Kaeding, NP
• Kaekares LLC
• Emma Wilcox Kaeser, PT, DPT

• Adolescent Medicine (Family Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adolescent Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.