Behnam Ebrahimi MD Inc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

BEHNAM EBRAHIMI MD INC

Doing business as

Advanced Wound Therapy Inc

Practice address

12577 Naples Way
Rancho Cucamonga, CA 91739-2631

Phone

(909) 365-9563

NPI assigned

Oct 22, 2025

Organization subpart

Yes

Parent organization

BEHNAM EBRAHIMI MD INCAs reported in NPPES

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

Authorized official

Name

Dr. Behnam Ebrahimi, MDNPI 1033165139

Title

Ceo

Phone

(909) 630-7342

Specialties & licenses 3

Addresses

Other names 1

• Advanced Wound Therapy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Behnam Ebrahimi MD Inc

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1447813332

  O20190712000629

  Same enrollment

Part of

Behnam Ebrahimi MD Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Behnam Ebrahimi MD Inc

  • Hematology & Oncology Physician
  • Pomona, CA
  • NPI 1447813332
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behnam Ebrahimi, M.D.

  • Medical Oncology Physician
  • Rancho Cucamonga, CA
  • NPI 1033165139
  NPD Authorized official

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1275400327",
    "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",
            "telephone_number": "909-365-9563"
        },
        {
            "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": "917392631",
            "telephone_number": "909-365-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHNAM EBRAHIMI MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHNAM EBRAHIMI MD INC",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-630-7342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Wound Therapy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Becker, COTA
• Brian Beckette
• Dane Rohan Beckford
• Beechwood Division
• Behavior Analysts International, LLC.
• Jeffrey Todd Bekendam, P.T.
• Adriana Belencaia, SLP
• Amy Jean Belk, OTR/L
• Alexandra Bello
• Bellwood Chiropractic

• 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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.