Active NPI
Anthony J Badame MD a Professional Corporation
- Dermatology Physician
- San Jose, CA
National Provider Identifier
1699509059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ANTHONY J BADAME MD A PROFESSIONAL CORPORATION
- Practice address
- 2025 Forest Ave Ste 9
San Jose, CA 95128-4806 - Phone
- (408) 297-4200
- Fax
- (408) 297-2503
- NPI assigned
- Aug 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Badame
- Title
- Office Manager
- Phone
- (408) 828-0284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2025 Forest Ave Ste 9
San Jose, CA 95128-4806
Mailing address
2025 Forest Ave Ste 9
San Jose, CA 95128-4806
Phone (408) 297-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0608454 | Anthony J Badame MD | Compliance | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
2025 Forest Ave
Ste 9
San Jose, CA 95128
Phone (408) 297-4200
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- San Jose, CA
- NPI 1285676551
-
- Radiation Oncology Physician
- Palo Alto, CA
- NPI 1225224991
-
- Radiation Oncology Physician
- Los Gatos, CA
- NPI 1235172446
-
- Radiation Oncology Physician
- Morrison, CO
- NPI 1699933135
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1396938601
-
- Radiation Oncology Physician
- Los Gatos, CA
- NPI 1578525531
-
- Radiation Oncology Physician
- Los Gatos, CA
- NPI 1992768519
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1992974083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1699509059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 FOREST AVE STE 9",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284806",
"telephone_number": "408-297-4200",
"fax_number": "408-297-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 FOREST AVE STE 9",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284806",
"telephone_number": "408-297-4200",
"fax_number": "408-297-2503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY J BADAME MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "BADAME",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "408-828-0284"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.