Individual provider Active NPI

Bita Badakhshan, M.D.

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1801058938
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A116789 Issued in CA
Practice address
6340 Irvine BLV.
Irvine, CA 92620
Phone
(949) 559-6500
Fax
(949) 559-6510
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A116789 CA Primary

Addresses

Primary practice location

6340 Irvine BLV.
Irvine, CA 92620

Mailing address

6 Hughes Suite 100
Irvine, CA 92618-2059
Phone (949) 680-1880

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
I20111031000362 CA Practitioner - Family Practice 7810160298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

665 Camino de Los Mares
Suite 200
San Clemente, CA 92673-2838
Phone (949) 444-6611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Medical Center for New Medicine,.Inc CurrentSince Jul 1, 2015 Accepting new patients
Opitmal Health Medical Centers CurrentSince Jan 1, 2022 Accepting new patients

Locations

6 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 680-1880

665 Camino de los Mares
Ste 200
San Clemente, CA 92673
Phone (949) 429-6000

Interoperability endpoints

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

Organizations & group practices 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1801058938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUGHES SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182059",
            "telephone_number": "949-680-1880",
            "fax_number": "949-680-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 IRVINE BLV.",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92620",
            "telephone_number": "949-559-6500",
            "fax_number": "949-559-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAKHSHAN",
        "first_name": "BITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.