NPIMap

Individual provider Active NPI

Pooja Mahajan Badlani, MBBS

  • Nephrology Physician
  • Colton, CA
National Provider Identifier
1689907461
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A117250 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 835-7946
Fax
(909) 363-7447
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A117250 CA Primary

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 835-7946

Other names 1

  • Pooja Mahajan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000063 CA Practitioner - NephrologyPractitioner - Internal Medicine 3274721451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Empire Nephrology IncGroup PAC ID 7911267588, 6 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 835-7946

Hospital & facility affiliations

  • Rai - Juniper Ave - Fontana Dialysis facility, Fontana, CA, CCN 552628
  • Rai - North Riverside - Rialto Dialysis facility, Rialto, CA, CCN 052863
  • Arrowhead Regional Medical Center Dialysis facility, Colton, CA, CCN 052334
  • Rai - West C - Colton Dialysis facility, Colton, CA, CCN 052817
  • Fresenius Kidney Care Redlands Dialysis facility, Redlands, CA, CCN 052727
  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A117250CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Empire Nephrology, Inc. Nephrology CurrentSince Dec 19, 2016 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Aug 15, 2015 Accepting new patients
Exigence Hospitalist Medical Services of Olean, PLLC Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Pacific Nephrology Medical Corporation Nephrology Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

400 N Pepper Ave
Ofc Of
Colton, CA 92324

1850 N Riverside Ave
Ste 150
Rialto, CA 92376
Phone (909) 879-1185

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 5

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1689907461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-835-7946",
            "fax_number": "909-363-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-835-7946",
            "fax_number": "909-363-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADLANI",
        "first_name": "POOJA",
        "middle_name": "MAHAJAN",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A117250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "MAHAJAN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.