Active NPI
Alex Bamdad, Inc
- Physical Therapy Clinic/Center
- South San Francisco, CA
National Provider Identifier
1790013795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 111NNO400X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.