MARIE ANTONETTE BADUA
NPI 1457825754
Nurse Practitioner - Family in Pomona, CA

Q: What is Marie Antonette Badua's NPI number?

The NPI number for Marie Antonette Badua is 1457825754. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Q: What is Marie Antonette Badua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 20, 2019PECOS EnrolledAccepts Medicare Assignment

1880 N ORANGE GROVE AVE, POMONA, CA 91767(909) 620-7200(909) 620-5800 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Jan 20, 2019 (2 updates tracked since 2019).

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About Marie Antonette Badua NPPES

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

MARIE ANTONETTE BADUA (NPI 1457825754) is an individual family provider in Pomona, California, licensed in California (95010352) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chino, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1457825754

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE ANTONETTE BADUA

Location Address1880 N ORANGE GROVE AVEPomona, CA 91767-3006

Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1488

Phone(909) 620-7200

Fax(909) 620-5800

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 20, 2019

Last NPPES UpdateMay 20, 20222 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1457825754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95010352

1880 N ORANGE GROVE AVE, Pomona, CA 91767

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Secondary Practice Location 1

Location 112990 Homestead PlChino, CA 91710-3390 · Phone (909) 438-0392

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie Antonette Badua is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496130064

PECOS Enrollment IDI20220917000583

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK ALONZO

Nurse Practitioner