Active NPI
Badr Medical Corporation
- Neurological Surgery Physician
- Glendale, CA
National Provider Identifier
1871920652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- BADR MEDICAL CORPORATION
- Practice address
- 1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4152 - Phone
- (818) 827-3898
- Fax
- (818) 827-3897
- NPI assigned
- Oct 10, 2013
- 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
- Yaser Badr, M.D.
- Title
- President
- Phone
- (818) 827-3898
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary | ||
| Neurology Physician | 2084N0400X |
Addresses
Primary practice location
1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4152
Mailing address
PO Box 41926
Los Angeles, CA 90041-0926
Phone (818) 562-6400
Other practice location 1
1828 E Cesar E Chavez Ave Ste 4500
Los Angeles, CA 90033-2577
Phone (818) 562-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275724320 | Other | CA | NPI |
| 1507881 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140318000251 | CA | Part B Supplier - Clinic/Group Practice | 4183855083 |
Receives reassigned benefits from 7 practitioners Practice locations: Glendale, CA; Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
1500 E Chevy Chase Dr
Ste 2
Glendale, CA 91206
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Glendale, CA
- NPI 1275724320
CA, Neurological Surgery
-
- Acute Care Nurse Practitioner
- Burbank, CA
- NPI 1720588908
CA, Single Specialty
-
- Neurological Surgery Physician
- Glendale, CA
- NPI 1801003686
CA, Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574380800000",
"number": "1871920652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41926",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900410926",
"telephone_number": "818-562-6400",
"fax_number": "848-562-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E CHEVY CHASE DR STE 204",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064152",
"telephone_number": "818-827-3898",
"fax_number": "818-827-3897"
}
],
"practiceLocations": [
{
"address_1": "1828 E Cesar E Chavez Ave Ste 4500",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900332577",
"country_code": "US",
"telephone_number": "818-562-6400",
"fax_number": "818-562-6405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BADR MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-10",
"last_updated": "2019-11-22",
"status": "A",
"authorized_official_last_name": "BADR",
"authorized_official_first_name": "YASER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-827-3898",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275724320",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507881",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.