Active NPI
Yaghoub Badymoghaddam, M.D.
- Family Medicine Physician
- Commerce, CA
National Provider Identifier
1932225208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A52570
- Practice address
- 5426 E Olympic Blvd
Commerce, CA 90022-5113 - Phone
- (323) 727-7000
- Fax
- (323) 726-0544
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A52570 | CA | Primary |
Addresses
Primary practice location
5426 E Olympic Blvd
Commerce, CA 90022-5113
Mailing address
5426 E Olympic Blvd
Commerce, CA 90022-5113
Phone (323) 727-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52570 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yaghoub Badymoghaddam MD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1427248368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932225208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5426 E OLYMPIC BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225113",
"telephone_number": "323-727-7000",
"fax_number": "323-726-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5426 E OLYMPIC BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900225113",
"telephone_number": "323-727-7000",
"fax_number": "323-726-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADYMOGHADDAM",
"first_name": "YAGHOUB",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A52570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.