BROOKDALE MEDICAL CENTER INC
NPI 1265572903
Pediatrics in South Gate, CA

Active since February 08, 2007
2809 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 567-9909(323) 567-9929 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brookdale Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKDALE MEDICAL CENTER INC (NPI 1265572903) is a healthcare organization registered as a pediatrics in South Gate, California and active in the NPI registry since February 2007. The organization lists John Barkodar, President, as its authorized official.

NPPES Registry Identity

NPI1265572903
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBROOKDALE MEDICAL CENTER INC
Location Address2809 TWEEDY BLVDSouth Gate, CA 90280
Mailing Address2809 Tweedy BlvdSouth Gate, CA 90280 · (323) 567-9909 · Fax (323) 567-9929
Fax(323) 567-9929
Organization SubpartNo
Authorized OfficialJohn BarkodarPresident · (323) 567-9909
Enumeration DateFebruary 8, 2007
Last NPPES UpdateDecember 23, 2010
✔ NPI 1265572903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · OA44541
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License OA44541 (CA)
2809 TWEEDY BLVD, South Gate, CA 90280

Other Identifiers 1

MedicaidGR0102030CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brookdale Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brookdale Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1124288147
2809 TWEEDY BLVD
South Gate, CA 90280
(323) 567-9909
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1060478

Brookdale Medical Center · South Gate, CA
Expired · Oct 23, 2026
CLIA Number05D1060478
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorLinda Barkodar
Laboratory Phone(353) 567-9909
Laboratory LocationBrookdale Medical Center2809 Tweedy Blvd, South Gate, CA 90280
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookdale Medical Center Inc's NPI number?

The NPI number for Brookdale Medical Center Inc is 1265572903. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Brookdale Medical Center Inc located?

Brookdale Medical Center Inc is located at 2809 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 567-9909.

What is Brookdale Medical Center Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brookdale Medical Center Inc enrolled in Medicare?

Yes. Brookdale Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookdale Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Brookdale Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brookdale Medical Center Inc was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.