Organization Active NPI

Behzad Baniadam MD Apc

Doing business as Mission Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Oceanside, CA
National Provider Identifier
1437174349
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
FNP31640 Issued in CA
Legal business name
BEHZAD BANIADAM MD APC
Doing business as
Mission Urgent Care, Inc.
Practice address
3231 Waring CT Ste L
Oceanside, CA 92056-4510
Phone
(760) 630-6300
Fax
(760) 630-1100
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Behzad Baniadam, M.D.NPI 1689699282
Title
Pres.
Phone
(760) 630-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FNP31640 CA Primary

Addresses

Primary practice location

3231 Waring CT Ste L
Oceanside, CA 92056-4510

Mailing address

1618 Burgundy Rd
Encinitas, CA 92024-1207
Phone (760) 630-6300

Other identifiers 1

IdentifierTypeStateIssuer
05D1022589OtherCACLIA

Other names 1

  • Mission Urgent Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000825 CA Part B Supplier - Clinic/Group Practice 2062307465 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1022589Mission Urgent Care Inc3231 Waring Court Suite L, Oceanside, CA 92056Certificate of waiverFeb 19, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437174349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 BURGUNDY RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241207",
            "telephone_number": "760-630-6300",
            "fax_number": "760-630-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 WARING CT STE L",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564510",
            "telephone_number": "760-630-6300",
            "fax_number": "760-630-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHZAD BANIADAM MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BANIADAM",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "760-630-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "FNP31640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1022589",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Urgent Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.