Active NPI
Behzad Baniadam, M.D.
- Family Medicine Physician
- Oceanside, CA
National Provider Identifier
1689699282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A055698
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D1022589 | Other | CA | CLIA |
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
- General 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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A055698 | CA | MD | Family Medicine Physician |
| 55698 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behzad Baniadam MD Apc | Current | 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.
-
- Urgent Care Clinic/Center
- Oceanside, CA
- NPI 1437174349
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.