Active NPI
Behzad Baniadam MD Apc
Doing business as Mission Urgent Care, Inc.
- Urgent Care Clinic/Center
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- FNP31640
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Behzad Baniadam, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1022589 | Other | CA | CLIA |
Other names 1
- Mission Urgent Care, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1022589 | Mission Urgent Care Inc | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oceanside, CA
- NPI 1689699282
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.