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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Hospital · Blythe, CA · CCN 051339
  • Coast Plaza Hospital Hospital · Norwalk, CA · CCN 050771
  • East Los Angeles Doctors Hospital Hospital · Los Angeles, CA · CCN 050641

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 IDStateProvider typePAC IDDetails
I20260611004257 CA Practitioner - Family Practice 1850799396 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184266CAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Banning, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.