SHIVA BANAFTI
NPI 1154831311
Social Worker in Culver City, CA

Q: What is Shiva Banafti's NPI number?

The NPI number for Shiva Banafti is 1154831311. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Q: What is Shiva Banafti's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shiva Banafti was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 02, 2017PECOS Enrolled

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2024, Jun 20, 2023, Mar 11, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Shiva Banafti NPPES

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

SHIVA BANAFTI (NPI 1154831311) is an individual social worker in Culver City, California, licensed in California (121115) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154831311

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHIVA BANAFTI

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230

Mailing Address323 N Prairie AveInglewood, CA 90301-4502 · (310) 846-2100 · Fax (310) 677-7205

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 2, 2017

Last NPPES UpdateJune 7, 20245 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1154831311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 121115

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 92135 (CA)

4760 SEPULVEDA BLVD, Culver City, CA 90230

Open in Google Maps ↗

Secondary Practice Location 1

Location 15825 W Olympic BlvdLos Angeles, CA 90036-4612 · Phone (323) 933-9022

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiva Banafti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517449044

PECOS Enrollment IDI20260304002462

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA FUENTES

Case Manager/Care Coordinator