Individual provider Active NPI

Behzad Baniadam, M.D.

  • Family Medicine Physician
  • Oceanside, CA
National Provider Identifier
1689699282
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A055698 Issued in CA
Practice address
3231 Waring CT Ste L
Oceanside, CA 92056-4510
Phone
(760) 630-6300
Fax
(760) 630-1100
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A055698 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

IdentifierTypeStateIssuer
05D1022589OtherCACLIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000894 CA Practitioner - General PracticePractitioner - Family Practice 2567357965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3231 Waring CT
Oceanside, CA 92056-4510
Phone (760) 630-6300

Hospital & facility affiliations

  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A055698CAMDFamily Medicine Physician
55698CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behzad Baniadam MD Apc CurrentSince Sep 15, 2003 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

3231 Waring Ct
Ste L
Oceanside, CA 92056
Phone (760) 630-6300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689699282",
    "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": {
        "last_name": "BANIADAM",
        "first_name": "BEHZAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A055698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D1022589",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.