Ashley Negin Banayan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA59288 Issued in CA

Practice address

8750 Wilshire Blvd Ste 210
Beverly Hills, CA 90211-2703

Phone

(310) 652-0920

Fax

(310) 360-4812

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.05 of 100Reported as group

Quality

79.69

Promoting interoperability

100

Improvement activities

40

Cost

67.14

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: abanayan434042@direct.cshs.org

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.

• Daniel J Wallace M D a Medical Corporation

  • Rheumatology Physician
  • Beverly Hills, CA
  • NPI 1679652507
  Medicare reassignment
• Doctors on the Go Inc.

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1700523362
  Medicare reassignment

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1700404357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 WILSHIRE BLVD STE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112703",
            "telephone_number": "310-652-0920",
            "fax_number": "310-360-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 WILSHIRE BLVD STE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112703",
            "telephone_number": "310-652-0920",
            "fax_number": "310-360-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Wilshire Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112703",
            "country_code": "US",
            "telephone_number": "310-652-0920",
            "fax_number": "310-360-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANAYAN",
        "first_name": "ASHLEY",
        "middle_name": "NEGIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA59288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Margaret Balkan, LCSW
• Jeffrey D Ball, PHD
• Nicolette Lee Ballou, MD
• Mark Bamberger, M.D.
• Bahareh Rachel Banafsheh
• Rashel Bandari, PHARM.D
• Amit Banerjee, M.D.
• Peyman Banooni, M.D.
• Raul Banuelos, DPT
• Terri Lynn Barach, LMFT

• Medical Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.