| Banaie Medical Corporation | |
|
8860 Center Drive Suite 420 La Mesa CA 91942-3020 | |
| (619) 469-5400 | |
| (619) 464-1311 |
| Full Name | Banaie Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8860 Center Drive, La Mesa, California |
| Authorized Official Name and Position | Ali Banaie (SOLE PROPRIETOR) |
| Authorized Official Contact | 6194695400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banaie Medical Corporation 8860 Center Drive Suite 420 La Mesa CA 91942-3020 Ph: (619) 469-5400 | Banaie Medical Corporation 8860 Center Drive Suite 420 La Mesa CA 91942-3020 Ph: (619) 469-5400 |
| NPI Number | 1528083474 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 7810977501 |
|---|---|
| Medicare Enrollment ID | O20040722001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528083474 | NPI | - | NPPES |
| 00A873080 | Medicaid | CA | |
| W17381 | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ali Banaie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386613206 PECOS PAC ID: 3870573561 Enrollment ID: I20040723000631 |
| Provider Name | Alison P Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114071438 PECOS PAC ID: 7416223482 Enrollment ID: I20171018001595 |
Nadi Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4535 70th St, La Mesa, CA 91942 Phone: 619-750-4962 | |
Shota Gurtch, M.d., Inc., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942 Phone: 619-668-8100 | |
Michael Andrisani Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-469-3822 | |
Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Dap Health-la Mesa Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 |