Shiva Banafti, is a medicare enrolled "Social Worker" provider in Culver City, California. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
4760 Sepulveda Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at
(310) 390-6612.
Shiva Banafti is licensed to practice in California (license number 121115) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154831311.
Healthcare Provider's Profile
| Full Name | Shiva Banafti |
|---|
| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 4760 Sepulveda Blvd, Culver City, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shiva Banafti graduated from medical school in 2019
NPI Data:
- NPI Number: 1154831311
- Provider Enumeration Date: 10/02/2017
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517449044
- Enrollment ID: I20260304002462
Medical Identifiers
Medical identifiers for Shiva Banafti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154831311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 92135 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 121115 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiva Banafti is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shiva Banafti,
323 N Prairie Ave,
Inglewood, CA 90301-4502
Ph: (310) 846-2100 | Shiva Banafti,
4760 Sepulveda Blvd,
Culver City, CA 90230
Ph: (310) 390-6612 |
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