Behnam Ebrahimi, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A81045 Issued in CA

Practice address

12577 Naples Way
Rancho Cucamonga, CA 91739

Phone

(714) 281-2993

NPI assigned

May 26, 2006

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Medical OncologyAlso: Internal Medicine

Education

Baylor College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Valley Hematology Oncology Associates a Professional MedicalGroup PAC ID 0345395075, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
• Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
• City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: casacolina@direct.casacolina.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behnam Ebrahimi MD Inc

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1447813332
  Medicare reassignment NPD Authorized official
• Inland Valley Hematology Oncology Associates, a Professional Medical

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1700031242
  Medicare reassignment Care Compare group NPD
• Behnam Ebrahimi MD Inc

  dba Advanced Wound Therapy Inc

  • Medical Oncology Physician
  • Rancho Cucamonga, CA
  • NPI 1275400327
  NPD Authorized official
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  NPD
• Chino Medical Group, Inc

  dba My Family Medical Group

  • Health Maintenance Organization
  • Chino, CA
  • NPI 1790730786
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  NPD (past)
• Uhs Corona Inc

  dba Corona Regional Medical Center

  • Rehabilitation Hospital Unit
  • Corona, CA
  • NPI 1255327920
  NPD (past)
• Valley Imaging Partnership-West Covina Pet LLC

  • Nuclear Medicine Physician
  • West Covina, CA
  • NPI 1790812253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Casa Colina Hospital and Centers for Healthcare

  • Rehabilitation Hospital
  • Pomona, CA
  • NPI 1821075870
  Care Compare affiliation
• Casa Colina Hospital and Centers for Healthcare

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1952777245
  Care Compare affiliation
• City of Hope National Medical Center

  • General Acute Care Hospital
  • Duarte, CA
  • NPI 1750358297
  Care Compare affiliation
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1033165139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12577 NAPLES WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12577 NAPLES WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91739",
            "telephone_number": "714-281-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Milliken Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306781",
            "country_code": "US",
            "telephone_number": "909-949-2242",
            "fax_number": "909-920-9863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Royalty Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673021",
            "country_code": "US",
            "telephone_number": "909-865-9960",
            "fax_number": "909-865-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Milliken Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917306781",
            "country_code": "US",
            "telephone_number": "909-949-2242",
            "fax_number": "909-920-9863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "BEHNAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A81045",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A81045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E.T. Medical Services LLC
• Dasani Eagles
• Thomas Terence Easter, M.D.
• Ebi, LLC
• Shadi Ebrahim, LMFT
• Econo Drugs
• Fairy Ancheta Edades, P.T.A.
• Geoffrey Dean Edwards, CRNA
• Randi Celeste Edwards
• Shannen Nicole Edwards

• Medical Oncology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.