SOUTH COUNTY ADDICTION AND TREATMENT CENTER
NPI 1073962171
Internal Medicine - Addiction Medicine in Santa Ana, CA

Q: What is Faried Banimahd MD Inc's NPI number?

The NPI number for Faried Banimahd MD Inc is 1073962171. It was assigned to this organization in the NPPES registry on June 9, 2016. The provider is doing business as South County Addiction And Treatment Center and Zephyr Medical Group.

Q: What is Faried Banimahd MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since June 09, 2016CLIA 05D2156485 · Waiver

1533 E 4TH ST STE 4, SANTA ANA, CA 92701(949) 347-8721(949) 347-8709 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 10, 2020, Aug 1, 2019 (2 updates tracked since 2019).

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About South County Addiction And Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH COUNTY ADDICTION AND TREATMENT CENTER (NPI 1073962171) is a healthcare organization registered as an addiction medicine in Santa Ana, California and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Faried Banimahd, Chief Medical And Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073962171

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameFARIED BANIMAHD MD INC

Location Address1533 E 4TH ST STE 4Santa Ana, CA 92701-5115

Mailing Address1835 Newport Blvd Ste A109-559Costa Mesa, CA 92627-5031 · (949) 347-8721 · Fax (949) 347-8709

Phone(949) 347-8721

Fax(949) 347-8709

Organization SubpartNo

Authorized OfficialFaried BanimahdChief Medical And Executive Officer · (949) 305-8910

Enumeration DateJune 9, 2016

Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration

✔ NPI 1073962171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

1533 E 4TH ST STE 4, Santa Ana, CA 92701

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Other Names 2

Doing Business AsSouth County Addiction And Treatment Center

Doing Business AsZephyr Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2156485

Faried Banimahd MD Inc · Santa Ana, CA

Active · expires Oct 17, 2026

CLIA Number05D2156485

Laboratory TypePhysician Office

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorFaried Banimahd

Laboratory Phone(949) 347-8721

Laboratory LocationFaried Banimahd MD Inc1533 E 4th Street, Santa Ana, CA 92701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faried Banimahd MD Inc's NPI number?

The NPI number for Faried Banimahd MD Inc is 1073962171. It was assigned to this organization in the NPPES registry on June 9, 2016. The provider is doing business as South County Addiction And Treatment Center and Zephyr Medical Group.

Where is Faried Banimahd MD Inc located?

Faried Banimahd MD Inc is located at 1533 E 4th St Ste 4, Santa Ana, CA 92701. The listed phone number is (949) 347-8721.

What is Faried Banimahd MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Does Faried Banimahd MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2156485) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Faried Banimahd MD Inc was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.