Individual provider Active NPI

Susan Behnawa, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Menifee, CA
National Provider Identifier
1235558875
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A142141 Issued in CA
Practice address
27190 Sun City Blvd
Menifee, CA 92586-5505
Phone
(951) 676-4193
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A142141 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X A142141 CA Primary

Addresses

Primary practice location

27190 Sun City Blvd
Menifee, CA 92586-5505

Mailing address

28780 Single Oak Dr Ste 160
Temecula, CA 92590-5528
Phone (951) 676-4193

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
I20190503000860 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 9739477647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

30420 Haun Rd
Menifee, CA 92584-6810
Phone (951) 676-4193

Hospital & facility affiliations

  • Horizon Valley Home Health Care Inc Home health agency, Temecula, CA, CCN 059384
  • Accentcare Home Health of California, Inc Home health agency, Corona, CA, CCN 057678
  • Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146
  • Mission Home Health of San Diego LLC Home health agency, San Diego, CA, CCN 557711
  • Advantage Health Systems Home health agency, Riverside, CA, CCN 059476
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142141CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Rincon Health Network PastSince May 18, 2025 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

30420 Haun Rd
Menifee, CA 92584

27190 Sun City Blvd
Sun City, CA 92586
Phone (951) 723-3804

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

28780 Single Oak Dr
Ste 260
Temecula, CA 92590
Phone (951) 331-2200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sbehnawa329009@direct.llu.edu

Organizations & group practices 5

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1235558875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR STE 160",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905528",
            "telephone_number": "951-676-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27190 SUN CITY BLVD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925865505",
            "telephone_number": "951-676-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNAWA",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A142141",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A142141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.