Active NPI
Bita Badakhshan, M.D.
- Family Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A116789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Medical Center for New Medicine,.Inc | Current | Accepting new patients | |
| Opitmal Health Medical Centers | Current | 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
- 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.
-
- Internal Medicine Physician
- Ladera Ranch, CA
- NPI 1548929441
-
- General Practice Physician
- Irvine, CA
- NPI 1891939351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.