Active NPI
Richard E Badura, D.C.
- Chiropractor
- Hemet, CA
National Provider Identifier
1558372003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0179420
- Practice address
- 230 S Girard St
Hemet, CA 92544-4661 - Phone
- (951) 658-2225
- Fax
- (951) 658-0179
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0179420 | CA | Primary |
Addresses
Primary practice location
230 S Girard St
Hemet, CA 92544-4661
Mailing address
230 S Girard St
Hemet, CA 92544-4661
Phone (951) 658-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
230 S Girard St
Hemet, CA 92544-4661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0179420 | CA | MD | Chiropractor |
| 17942 | CA | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
-
- Chiropractor
- Hemet, CA
- NPI 1215201645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1558372003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S GIRARD ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925444661",
"telephone_number": "951-658-2225",
"fax_number": "951-658-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S GIRARD ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925444661",
"telephone_number": "951-658-2225",
"fax_number": "951-658-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADURA",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "0179420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.