Active NPI
Banafsheh Yafeh, M.D.
- Vascular Neurology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- A90526
- Practice address
- 701 E 28TH St
Suite 319
Long Beach, CA 90806-2759 - Phone
- (562) 426-3656
- Fax
- (562) 424-9990
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | A90526 | CA | Primary |
| Vascular Neurology Physician | 2084V0102X | 036122614 | IL |
Addresses
Primary practice location
701 E 28TH St
Suite 319
Long Beach, CA 90806-2759
Mailing address
701 E 28TH St
Suite 319
Long Beach, CA 90806-2759
Phone (562) 426-3656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W6126 | Other | CA | MEDICARE GROUP PTAN |
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
- Neurology
- Education
- University of Southern California Keck School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1045 Atlantic Ave
Suite 719
Long Beach, CA 90813-3412
Phone 56259113243
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90526 | CA | MD | Pharmacist |
| A90526 | CA | MD | Vascular Neurology Physician |
| 036122614 | IL | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuromedical Diagnostic Medical Group | Current | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
701 E 28th St
Ste 319B
Long Beach, CA 90806
Phone (323) 350-0235
701 E 28th St
Ste 319
Long Beach, CA 90806
Phone (562) 426-3656
701 E 28th St
Long Beach, CA 90806
Phone (562) 264-3121
1045 Atlantic Ave
Ste 719
Long Beach, CA 90813
Phone (562) 591-1132
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Neurology Physician
- Long Beach, CA
- NPI 1033116546
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1760677892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E 28TH ST",
"address_2": "SUITE 319",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062759",
"telephone_number": "562-426-3656",
"fax_number": "562-424-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 28TH ST",
"address_2": "SUITE 319",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062759",
"telephone_number": "562-426-3656",
"fax_number": "562-424-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAFEH",
"first_name": "BANAFSHEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "A90526",
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036122614",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "W6126",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.