Behnam Faridian, MD
Individual provider Active NPI Family Medicine Physician · Banning, CA
NPI 1568091841 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1568091841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A184266 (CA)
- Practice address
- 940 E Williams St Ste 102
Banning, CA 92220-5808 - Phone
- (951) 849-6794
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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
- Palo Verde Hospital
- Coast Plaza Hospital
- East Los Angeles Doctors Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611004257 | CA | Practitioner - Family Practice | 1850799396 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184266 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A184266 | CA | Yes |
| 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
Other providers in Banning, CA
- Marianne Everling
- Faculty Physicians and Surgeons of Llusm
- Faith in Action of San Gorgonio Pass
- Faith Talents and Works Inc
- Jhonathan E Fajardo
- Hilda Favela
- Cristyan Felix
- Marco Fernandez
- Ferrees Group Home, Inc
- Ferrees Group Home, Inc
All providers in Banning, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.