Faried Banimahd, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

A100516 Issued in CA

Practice address

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

Phone

(949) 347-8721

Fax

(949) 347-8709

NPI assigned

Dec 17, 2008

Sex

Male

Sole proprietor

Yes

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

Emergency Medicine

Education

University of California, Irvine, California College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIEBCD/Endpoint/DIEBCD

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.

• Faried Banimahd MD Inc

  dba South County Addiction and Treatment Center

  • Addiction Medicine (Internal Medicine) Physician
  • Santa Ana, CA
  • NPI 1073962171
  Medicare reassignment NPD Authorized official
• Regents of the University of

  dba Emergency Medicine Faculty Group

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1154379394
  Medicare reassignment NPD
• American Addiction Institute of Mind and Medicine

  dba California Addiction Institute of Mind and Medicine

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Ana, CA
  • NPI 1023565579
  Authorized official Same address or phone
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1184860496",
    "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",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015115",
            "telephone_number": "949-347-8721",
            "fax_number": "949-347-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIMAHD",
        "first_name": "FARIED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A100516",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A100516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Petrillo Balog
• Teresa Baltazar
• Kevin Baltzar
• Lizet Espinoza Bande, M.ED
• Wendy Banicki, LPCC
• Francesca A Banker
• Carrie Renee Banks, RN,BSN,IBCLC
• Klem Banner
• Ana Banuelos
• Evelyn Banuelos

• 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 Sep 30, 2022; 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.