Individual provider Active NPI

Mohsen Badri, MD, DO, MPH

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1669570495
Registry record updated Jul 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9095 Issued in CA
Practice address
11819 Wilshire Blvd
Suite #208
Los Angeles, CA 90025
Phone
(310) 914-9246
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A9095 CA Primary

Addresses

Primary practice location

11819 Wilshire Blvd
Suite #208
Los Angeles, CA 90025

Mailing address

11819 Wilshire Blvd Ste 208
Los Angeles, CA 90025-6631
Phone (310) 914-9246

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061103000466 CA Practitioner - Internal MedicinePractitioner - Preventive Medicine 0143227199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Preventive Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Partners, a Medical Group 236 clinicians

Practice addresses (Care Compare)

3801 Katella Ave
Suite 330
Los Alamitos, CA 90720-3396
Phone (562) 594-9546

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Merit-based Incentive Payment System (MIPS)

Final score
38.53 of 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9095CAMDOptometrist
20A9095CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Point Medical Group Internal Medicine Current Accepting new patients
Prohealth Partners a Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

11819 Wilshire Blvd
Ste 208
Los Angeles, CA 90025
Phone (310) 914-9246

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1669570495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "310-914-9246",
            "fax_number": "310-478-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD",
            "address_2": "SUITE #208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-914-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRI",
        "first_name": "MOHSEN",
        "name_prefix": "Dr.",
        "credential": "MD, DO, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.