Organization Active NPI

Alex Bamdad, Inc

  • Physical Therapy Clinic/Center
  • South San Francisco, CA
National Provider Identifier
1790013795
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
111NNO400X Issued in CA
Legal business name
ALEX BAMDAD, INC
Practice address
1435 Huntington Ave Ste 330
South San Francisco, CA 94080-5966
Phone
(650) 794-1800
Fax
(650) 794-1808
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Alex Reza Bamdad, D.C.
Title
Owner
Phone
(650) 794-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 111NNO400X CA Primary

Addresses

Primary practice location

1435 Huntington Ave Ste 330
South San Francisco, CA 94080-5966

Mailing address

1435 Huntington Ave Ste 330
South San Francisco, CA 94080-5966
Phone (650) 794-1800

National Provider Directory

National Provider Directory

Locations

1435 Huntington Ave
Ste 330
South San Francisco, CA 94080
Phone (415) 794-1800

1435 Huntington Ave
Ste 33
South San Francisco, CA 94080
Phone (650) 794-1800

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1790013795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 HUNTINGTON AVE STE 330",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805966",
            "telephone_number": "650-794-1800",
            "fax_number": "650-794-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 HUNTINGTON AVE STE 330",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805966",
            "telephone_number": "650-794-1800",
            "fax_number": "650-794-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX BAMDAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "BAMDAD",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-794-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "111NNO400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.