Active NPI
Raymond Badillo, M.D.
- Anesthesiology Physician
- Manhattan Beach, CA
National Provider Identifier
1972579688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G52698
- Practice address
- 6 Malaga Place East
Manhattan Beach, CA 90266-7202 - Phone
- (310) 546-5797
- Fax
- (310) 546-5797
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G52698 | CA | Primary |
Addresses
Primary practice location
6 Malaga Place East
Manhattan Beach, CA 90266-7202
Mailing address
6 Malaga PL E
Manhattan Beach, CA 90266-7202
Phone (310) 546-5797
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 |
|---|---|---|---|
| G52698 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century City Surgical Associates a Medical Corporation Associates Medi | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients |
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.
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-
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- NPI 1053490755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1972579688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MALAGA PL E",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902667202",
"telephone_number": "310-546-5797",
"fax_number": "310-546-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MALAGA PLACE EAST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902667202",
"telephone_number": "310-546-5797",
"fax_number": "310-546-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADILLO",
"first_name": "RAYMOND",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G52698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.