Organization Active NPI

The Paddy Jim Baggot MD Professional Corporation

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1649369109
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
THE PADDY JIM BAGGOT MD PROFESSIONAL CORPORATION
Practice address
3020 Wilshire Blvd
Suite #219
Los Angeles, CA 90010-1120
Phone
(213) 386-2606
Fax
(213) 386-2603
NPI assigned
Oct 12, 2006
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Patrick James Baggot, MDNPI 1144319609
Title
Owner
Phone
(818) 448-0213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary
Maternal & Fetal Medicine Physician 207VM0101X NU

Addresses

Primary practice location

3020 Wilshire Blvd
Suite #219
Los Angeles, CA 90010-1120

Mailing address

3020 Wilshire Blvd
Suite 219
Los Angeles, CA 90010-1120
Phone (213) 386-2606

Other identifiers 1

IdentifierTypeStateIssuer
00G849160MedicaidCA

National Provider Directory

National Provider Directory

Locations

931 Buena Vista St
Ste 200
Duarte, CA 91010
Phone (626) 671-8866

3020 Wilshire Blvd
Ste 219
Los Angeles, CA 90010
Phone (213) 365-2624

1535 W Merced Ave
Ste 304
West Covina, CA 91790
Phone (626) 829-1818

Practitioners & affiliated clinicians

Practitioners 1

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1649369109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD",
            "address_2": "SUITE 219",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-386-2606",
            "fax_number": "213-386-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD",
            "address_2": "SUITE #219",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-386-2606",
            "fax_number": "213-386-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PADDY JIM BAGGOT MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BAGGOT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-448-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G849160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.