Individual provider Active NPI

Haleh Badkoobehi, MD

  • Pediatric Orthopaedic Surgery Physician
  • Torrance, CA
National Provider Identifier
1902111909
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
A121218 Issued in CA
Practice address
1000 W Carson St # 461
Torrance, CA 90502-2004
Phone
(310) 222-2700
Fax
(310) 533-1841
NPI assigned
Aug 13, 2010
Last updated
Feb 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A121218 CA
Pediatric Orthopaedic Surgery Physician 207XP3100X A121218 CA Primary

Addresses

Primary practice location

1000 W Carson St # 461
Torrance, CA 90502-2004

Mailing address

1000 W Carson St #461
Torrance, CA 90502

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
I20160725002545 CA Practitioner - Orthopedic Surgery 0446543771 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121218CAMDMarriage & Family Therapist
A121218CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Shriners Hospitals for Children CurrentSince May 11, 2019 Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Current Accepting new patients
Shriners Hospitals for Children CurrentSince May 11, 2019 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
Shriners Hospitals for Children Pediatric Orthopaedic Surgery Past Accepting new patients

Locations

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1902111909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST #461",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST # 461",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2700",
            "fax_number": "310-533-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADKOOBEHI",
        "first_name": "HALEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A121218",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "A121218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.