M Badr MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56397 Issued in CA

Legal business name

M BADR MD INC

Practice address

703 W Graham Ave
101
Lake Elsinore, CA 92530-3514

Phone

(760) 768-6800

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Badr, MDNPI 1053334524

Title

Owner

Phone

(760) 768-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohamed Badr, MD

  • Internal Medicine Physician
  • Lake Elsinore, CA
  • NPI 1053334524
  NPD (past) Authorized official
• Sergio Stone, MD

  • Obstetrics Physician
  • Calexico, CA
  • NPI 1003932187
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902993256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W GRAHAM AVE",
            "address_2": "101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303514",
            "telephone_number": "760-768-6800",
            "fax_number": "760-768-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W GRAHAM AVE",
            "address_2": "101",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925303514",
            "telephone_number": "760-768-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M BADR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BADR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-768-6800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Joyce Lucas
• Maria Fernanda Luna Montes, DDS
• Elisia Luna
• Jonathan Luu, PHARM.D.
• Steven C Lynn, DMD
• Hanna Mabazza
• Ily Madison Macpherson
• Jailene Magana
• Marisela Magana
• Cheryl L Maiden, MFT

• Internal Medicine Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.