Individual provider Active NPI

Kandan Baban, D.O.

  • Cardiovascular Disease Physician
  • Escondido, CA
National Provider Identifier
1285954941
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20A10598 Issued in CA
Practice address
225 E 2ND Ave Ste 260
Escondido, CA 92025-4236
Phone
(760) 291-6700
Fax
(760) 291-6862
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10598 CA
Nuclear Cardiology Physician 207UN0901X 20A10598 CA
Cardiovascular Disease Physician 207RC0000X 20A10598 CA Primary

Addresses

Primary practice location

225 E 2ND Ave Ste 260
Escondido, CA 92025-4236

Mailing address

225 East Second Avenue
Escondido, CA 92025-4249
Phone (760) 291-6700

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
I20101206000271 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880881747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Escondido, CA 92025-4212
Phone (866) 228-2236

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10598CAMDCardiovascular Disease Physician
10598CAMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graybill Medical Group Inc Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Palomar Health Past Accepting new patients

Locations

1955 Citracado Pkwy
Ste 302
Escondido, CA 92029
Phone (760) 233-1896

332 S Juniper St
Ste 100
Escondido, CA 92025
Phone (760) 291-6650

225 E 2nd Ave
Ste 260
Escondido, CA 92025
Phone (760) 480-1808

225 E 2nd Ave
Escondido, CA 92025

225 E 2nd Ave
Ste 202
Escondido, CA 92025
Phone (760) 291-6799

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kbaban19181@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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 1

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1285954941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254249",
            "telephone_number": "760-291-6700",
            "fax_number": "760-737-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 2ND AVE STE 260",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254236",
            "telephone_number": "760-291-6700",
            "fax_number": "760-291-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAN",
        "first_name": "KANDAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10598",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "20A10598",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.