Individual provider Active NPI

Banafsheh Yafeh, M.D.

  • Vascular Neurology Physician
  • Long Beach, CA
National Provider Identifier
1760677892
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
A90526 Issued in CA
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

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W6126OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000295 CA Practitioner - NeurologyPractitioner - Other (Physician) 9032390380 Reassigns benefits to 1 organization

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
Neuromedical Diagnostic Medical GroupGroup PAC ID 4284609330, 6 clinicians

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 100Reported as group

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
90526CAMDPharmacist
A90526CAMDVascular Neurology Physician
036122614ILMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromedical Diagnostic Medical Group CurrentSince Jun 7, 2011 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.

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": "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

Verify at the official NPI Registry.