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BANAIE MEDICAL CORPORATION
NPI 1528083474
Internal Medicine - Gastroenterology in La Mesa, CA

Active since July 13, 2006CLIA 05D1036648 · Waiver
8860 CENTER DRIVE, SUITE 420, LA MESA, CA 91942(619) 469-5400(619) 464-1311 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banaie Medical Corporation NPPES

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

BANAIE MEDICAL CORPORATION (NPI 1528083474) is a healthcare organization registered as a gastroenterology in La Mesa, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Ali Banaie, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1528083474
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBANAIE MEDICAL CORPORATION
Location Address8860 CENTER DRIVE, SUITE 420La Mesa, CA 91942-3020
Mailing Address8860 Center Drive, Suite 420La Mesa, CA 91942-3020 · (619) 469-5400 · Fax (619) 464-1311
Phone(619) 469-5400
Fax(619) 464-1311
Organization SubpartNo
Authorized OfficialAli BanaieSole Proprietor · (619) 469-5400
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1528083474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8860 CENTER DRIVE, La Mesa, CA 91942
Open in Google Maps ↗

Other Identifiers 2

OtherW17381CA · Ptan
Medicaid00A873080CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D1036648

Banaie Medical Corporation Ali Banaie · La Mesa, CA
Active · expires Feb 6, 2027
CLIA Number05D1036648
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorAli Banaie MD
Laboratory Phone(619) 469-5400
Laboratory LocationBanaie Medical Corporation Ali Banaie8860 Center Drive #420, La Mesa, CA 91942
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KAVEH BAGHERI M.D.
Internal Medicine (Pulmonary Disease)
8860 CENTER DRIVE, SUITE 240
LA MESA, CA 91942
San Diego County (619) 589-2535
ALI BANAIE M.D.
Internal Medicine (Gastroenterology)
8860 CENTER DRIVE, SUITE 420
LA MESA, CA 91942
San Diego County (619) 469-5400
ROBERT A BRENNER
Internal Medicine (Gastroenterology)
8860 CENTER DRIVE, SUITE 420
LA MESA, CA 91942
San Diego County (619) 469-5400
DR. LUIS C. CAJAS-MONSON M.D.
Surgery (Vascular Surgery)
8860 CENTER DRIVE, SUITE 450
LA MESA, CA 91942
San Diego County (619) 460-6200

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 Banaie Medical Corporation's NPI number?

The NPI number for Banaie Medical Corporation is 1528083474. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Banaie Medical Corporation located?

Banaie Medical Corporation is located at 8860 Center Drive Suite 420, La Mesa, CA 91942. The listed phone number is (619) 469-5400.

What is Banaie Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Banaie Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1036648) is associated with this NPI, valid through February 6, 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 Banaie Medical Corporation was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.