Individual provider Active NPI

Shaida Behnam, MD

  • Family Medicine Physician
  • Monterey, CA
National Provider Identifier
1114016169
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82694 Issued in CA
Practice address
1010 Cass St Ste D3
Monterey, CA 93940
Phone
(831) 901-3691
Fax
(831) 901-3706
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82694 CA Primary

Addresses

Primary practice location

1010 Cass St Ste D3
Monterey, CA 93940

Mailing address

1010 Cass St Ste D3
Monterey, CA 93940-4515
Phone (831) 901-3691

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090303000095 CA Practitioner - Family Practice 7719043587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

337 El Dorado St
Suite A4
Monterey, CA 93940-4638
Phone (831) 901-3691

Hospital & facility affiliations

  • Central Coast Vna & Hospice, Inc Home health agency, Monterey, CA, CCN 057002
  • Premier Home Health Providers Inc. Home health agency, San Jose, CA, CCN 059180
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Canterbury Woods Nursing home, Pacific Grove, CA, CCN 055303

Merit-based Incentive Payment System (MIPS)

Final score
21.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82694CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaida Behnam MD Inc CurrentSince Jan 1, 2017 Accepting new patients

Locations

337 El Dorado St
Ste A4
Monterey, CA 93940
Phone (831) 649-6201

147 El Dorado St
Ste A
Monterey, CA 93940
Phone (831) 373-1813

1010 Cass St
Ste D3
Monterey, CA 93940
Phone (831) 901-3691

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canterbury WoodsPacific Grove, CA, CCN 055303 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 14, 2024
Aug 14, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1114016169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CASS ST STE D3",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404515",
            "telephone_number": "831-901-3691",
            "fax_number": "831-901-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CASS ST STE D3",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-901-3691",
            "fax_number": "831-901-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNAM",
        "first_name": "SHAIDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.