Husam Issa Badawiya

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

6PDZ412 Issued in CA

Practice address

17227 Grove Dr
Riverside, CA 92503-6749

Phone

(951) 353-0698

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1780003012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17227 GROVE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036749",
            "telephone_number": "951-353-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17227 GROVE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036749",
            "telephone_number": "951-353-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAWIYA",
        "first_name": "HUSAM",
        "middle_name": "ISSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "6PDZ412",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CA",
            "license": "6SJH640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bachoura
• Alejandra Bacilio - Macias
• Journi Bacon
• Rizwan Badar, M.D.
• Sammy R. Badawi, MD
• Bassam Bader
• Theresa Bader
• Manijeh Badiee, PH.D.
• Badii Lee Dental Corporation, Inc.
• Nawal Badran, M.D.

• Private Vehicle in Riverside, CA
• Providers in Riverside, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.