Banaie Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

BANAIE MEDICAL CORPORATION

Practice address

8860 Center Drive
Suite 420
La Mesa, CA 91942-3020

Phone

(619) 469-5400

Fax

(619) 464-1311

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Ali Banaie, M.D.NPI 1386613206

Title

Sole Proprietor

Phone

(619) 469-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

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

• Ali Banaie, M.D.

  • Gastroenterology Physician
  • La Mesa, CA
  • NPI 1386613206
  Medicare reassignment Care Compare group NPD Authorized official
• Mohammad Phillip Charles Fejleh, MD

  • Gastroenterology Physician
  • San Diego, CA
  • NPI 1205240959
  Medicare reassignment Care Compare group NPD
• Payam Afshar, M.D.

  • Gastroenterology Physician
  • La Mesa, CA
  • NPI 1023192861
  Medicare reassignment Care Compare group
• Alison P. Anthony, CFNP

  • Adult Health Nurse Practitioner
  • San Diego, CA
  • NPI 1114071438
  Medicare reassignment NPD
• Lauren Lowery, FNP-C

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1598492902
  NPD (past)
• Brett J. Partridge, MD

  • Gastroenterology Physician
  • Vancouver, WA
  • NPI 1104888544
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1528083474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DRIVE",
            "address_2": "SUITE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DRIVE",
            "address_2": "SUITE 420",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-469-5400",
            "fax_number": "619-464-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANAIE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "BANAIE",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "619-469-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A873080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W17381",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivienne Baker, OT
• Pooja Bakshi, AMFT/APCC
• Ami Bali, PA
• Elizabeth M Ballinger, CMT
• Narges Baluch, MD
• Ali Banaie, M.D.
• Dominique Banks
• Peter M. Baratta, L.C.S.W.
• Axel Barba, DDS
• Roxanna Renee Barbee

• Gastroenterology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.