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SHAIDA BEHNAM MD INC
NPI 1174078315
Clinic/Center - Primary Care in Monterey, CA

Active since August 17, 2016CLIA 05D2136753 · Waiver
1010 CASS ST STE D3, MONTEREY, CA 93940(831) 901-3691(831) 901-3706 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2018, Feb 1, 2017, Aug 17, 2016 (3 updates tracked since 2016).

About Shaida Behnam Md Inc NPPES

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

SHAIDA BEHNAM MD INC (NPI 1174078315) is a healthcare organization registered as a primary care in Monterey, California and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through September 13, 2027 and lists Shaida Behnam, Owner, as its authorized official.

NPPES Registry Identity

NPI1174078315
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHAIDA BEHNAM MD INC
Location Address1010 CASS ST STE D3Monterey, CA 93940
Mailing Address1010 Cass St Ste D3Monterey, CA 93940-4515 · (831) 901-3691 · Fax (831) 901-3706
Phone(831) 901-3691
Fax(831) 901-3706
Organization SubpartNo
Authorized OfficialShaida BehnamOwner · (925) 640-1980
Enumeration DateAugust 17, 2016
Last NPPES UpdateAugust 31, 20183 updates tracked since enumeration
✔ NPI 1174078315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A82694
1010 CASS ST STE D3, Monterey, CA 93940
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaida Behnam Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shaida Behnam MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shaida Behnam, MD
Family Practice
NPI 1114016169
1010 CASS ST STE D3
Monterey, CA 93940
(831) 901-3691
✔ PECOS✔ Accepts MedicareSame address

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

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 05D2136753

Shaida Behnam MD Inc · Monterey, CA
Active · expires Sep 13, 2027
CLIA Number05D2136753
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorShaida Behnam, MD
Laboratory Phone(831) 901-3691
Laboratory LocationShaida Behnam MD Inc1010 Cass St Ste D3, Monterey, CA 93940
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 Shaida Behnam MD Inc's NPI number?

The NPI number for Shaida Behnam MD Inc is 1174078315. It was assigned to this organization in the NPPES registry on August 17, 2016.

Where is Shaida Behnam MD Inc located?

Shaida Behnam MD Inc is located at 1010 Cass St Ste D3, Monterey, CA 93940. The listed phone number is (831) 901-3691.

What is Shaida Behnam MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Shaida Behnam MD Inc enrolled in Medicare?

Yes. Shaida Behnam MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shaida Behnam MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shaida Behnam MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shaida Behnam MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2136753) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shaida Behnam MD Inc was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.