Individual provider Active NPI

Badran Madani, MD

  • Internal Medicine Physician
  • Colton, CA
National Provider Identifier
1699870139
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66356 Issued in CA
Practice address
952 S Mount Vernon Ave
Suite B
Colton, CA 92324-4218
Phone
(909) 886-3660
Fax
(909) 824-2906
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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 A66356 CA Primary

Addresses

Primary practice location

952 S Mount Vernon Ave
Suite B
Colton, CA 92324-4218

Mailing address

952 South Mount Vernon Ave
Suite B
Colton, CA 92324
Phone (909) 886-3660

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
I20040511000754 CA Practitioner - Internal Medicine 1456340702 Practice locations: Colton, CA; San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

399 E Highland Ave
Suite 427
San Bernardino, CA 92404-3824
Phone (909) 886-3660

952 S Mount Vernon Ave
Suite B
Colton, CA 92324-4224
Phone (909) 886-3660

Hospital & facility affiliations

  • Community Hospital of San Bernardino DP SNF Nursing home, San Bernardino, CA, CCN 555522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66356CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Advanced Dermatology & Skin Cancer Specialists Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Cardiology Specialists Medical Group, Inc. PastSince Nov 1, 2021 Accepting new patients
Redlands Community Hospital Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDBBBA/Endpoint/JDBBBA

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 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1699870139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 SOUTH MOUNT VERNON AVE",
            "address_2": "SUITE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-886-3660",
            "fax_number": "909-824-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 S MOUNT VERNON AVE",
            "address_2": "SUITE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244218",
            "telephone_number": "909-886-3660",
            "fax_number": "909-824-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "BADRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.