BABAK A GILADI, DPM, INC , NPI 1710090097 — GILADI PODIATRY GROUP in LOS ANGELES (CA)

NPI 1710090097

13+ Years Experience Organization

BABAK A GILADI, DPM, INC

Other organization name: GILADI PODIATRY GROUP. Name type code: 3 - doing business as (d/b/ a) name.

08/17/2006
PROVIDER ENUMERATION DATE
05/26/2016
LAST UPDATE DATE
1710090097
NPI NUMBER

About BABAK A GILADI, DPM, INC

BABAK A GILADI, DPM, INC is a provider established in LOS ANGELES, CA. The NPI number of BABAK A GILADI, DPM, INC is 1710090097 and was assigned on 08/17/2006. The practitioners primary taxonomy code is: 213ES0103X with license number: E4116 CA .

Mailing address

  • City: BEVERLY HILLS
  • State: CA
  • Postal code: 902113104
  • Phone: 3109288700
  • Fax: 3105509020
  • Address: 8549 WILSHIRE BLVD
  • Address 2: SUITE 1262

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1710090097
  • Phone : 3109288700
  • Fax : 3105509020
  • Postalcode : 900257532
  • Address : 11022 SANTA MONICA BLVD SUITE 380

Provider taxonomy - Podiatrist

  • Taxonomy code: 213ES0103X
  • License number: E4116
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X SINGLE SPECIALTY GROUP.

Contacts:

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  • BABAK A GILADI, DPM, INC
  • Address : 11022 SANTA MONICA BLVD SUITE 380
  • Region : LOS ANGELES, CA
  • NPI : 1710090097
  • Phone : 3109288700
  • Fax : 3105509020
  • Postalcode : 900257532

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 3107047057
  • Title or position : PRESIDENT
  • Credentials : DPM

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address11022 SANTA MONICA BLVD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 380
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900257532
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3109288700
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3105509020
The fax number associated with the location address of the provider being identified.
NPI1710090097
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1213ES0103X
Provider Enumeration Date08/17/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/26/2016
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization SubpartN
The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don"t know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name)BABAK A GILADI, DPM, INC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameGILADI PODIATRY GROUP
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address8549 WILSHIRE BLVD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE 1262
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameBEVERLY HILLS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code902113104
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3109288700
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3105509020
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameGILADI
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameBABAK
The first name of the authorized official
Authorized Official Middle NameA
The middle name of the authorized official
Authorized Official Title or PositionPRESIDENT
The title or position of the authorized official
Authorized Official Name Prefix TextDR.
Authorized Official Name Prefix Text
Authorized Official Credential TextDPM
Authorized Official Credential Text
Authorized Official Telephone Number3107047057
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1213ES0103X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Podiatrist
Provider License Number 1E4116
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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