Active NPI
Behnam Faridian, MD
- Family Medicine Physician
- Banning, CA
National Provider Identifier
1568091841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A184266
- Practice address
- 940 E Williams St Ste 102
Banning, CA 92220-5808 - Phone
- (951) 849-6794
- NPI assigned
- Apr 7, 2020
- Last updated
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A184266 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | 23299 | NV | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
940 E Williams St Ste 102
Banning, CA 92220-5808
Mailing address
304 S Jones Blvd # 402
Las Vegas, NV 89107-2623
Phone (310) 801-6682
Other practice location 1
6655 S Cimarron Rd Ste 100
Las Vegas, NV 89113-2181
Phone (702) 853-3561
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2100 Powell St
Emeryville, CA 94608-1826
2100 Powell St
Suite 400
Emeryville, CA 94608-1872
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23299 | NV | MD | Pharmacist |
| A184266 | CA | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coast Plaza Hospital
- General Acute Care Hospital
- Norwalk, CA
- NPI 1194016923
-
dba Coast Plaza Hospital
- Psychiatric Hospital Unit
- Norwalk, CA
- NPI 1952012379
-
dba East Los Angeles Doctors Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417957473
-
dba East Los Angeles Doctors Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1720298326
Hospital
-
dba Palo Verde Hospital
- General Acute Care Hospital
- Blythe, CA
- NPI 1194705202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1568091841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 S JONES BLVD # 402",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072623",
"telephone_number": "310-801-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E WILLIAMS ST STE 102",
"city": "BANNING",
"state": "CA",
"postal_code": "922205808",
"telephone_number": "951-849-6794"
}
],
"practiceLocations": [
{
"address_1": "6655 S Cimarron Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891132181",
"country_code": "US",
"telephone_number": "702-853-3561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARIDIAN",
"first_name": "BEHNAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A184266",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "23299",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.