Faried Banimahd MD Inc

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

FARIED BANIMAHD MD INC

Doing business as

South County Addiction and Treatment Center
Zephyr Medical Group

Practice address

1533 E 4TH St Ste 4
Santa Ana, CA 92701-5115

Phone

(949) 347-8721

Fax

(949) 347-8709

NPI assigned

Jun 9, 2016

Last updated

Jan 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Faried Banimahd, MDNPI 1184860496

Title

Chief Medical and Executive Officer

Phone

(949) 305-8910

Specialties & licenses 1

Addresses

Other names 2

• South County Addiction and Treatment Center Doing business as
• Zephyr Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faried Banimahd, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Santa Ana, CA
  • NPI 1184860496
  Medicare reassignment NPD Authorized official
• Alexis Waidhofer, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1871199950
  Medicare reassignment

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1073962171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD STE A109-559",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275031",
            "telephone_number": "949-347-8721",
            "fax_number": "949-347-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 E 4TH ST STE 4",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015115",
            "telephone_number": "949-347-8721",
            "fax_number": "949-347-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIED BANIMAHD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "BANIMAHD",
        "authorized_official_first_name": "FARIED",
        "authorized_official_title_or_position": "CHIEF MEDICAL AND EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-305-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Addiction and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Addiction and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zephyr Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vanessa Joy Farish
• Andrea L. Farkas, LVN
• Lanae Jodi Farlin
• Farmacia Remedios Inc

• Addiction Medicine (Internal Medicine) Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.