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SHIVA BANAFTI
NPI 1154831311
Social Worker in Culver City, CA

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: November 01, 2026.

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

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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Shiva Banafti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
302 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ANDREW R MILLER MFT
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
PAUL SMITH MSW, ACSW
Social Worker
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
CHELSEA DAWN GILBERT M.A.
Student in an Organized Health Care Education/Training Program
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5344
RASHAUNA FAIR
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
KIMBERLY OROZCO
Marriage & Family Therapist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
ALFREDIA RAYNESHIA CHRISTOPHE
Day Training/Habilitation Specialist
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 390-6612
JESSICA AYALA
Case Manager/Care Coordinator
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 751-5470

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 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.

Where is Shiva Banafti located?

Shiva Banafti practices at 4760 Sepulveda Blvd, Culver City, CA 90230. The listed phone number is (310) 390-6612.

What is Shiva Banafti's specialty?

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

Is Shiva Banafti enrolled in Medicare?

Yes. Shiva Banafti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shiva Banafti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiva Banafti reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shiva Banafti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.