Shiva Banafti, is a
Social Worker based in Culver City, California. Shiva Banafti is licensed to practice in California (license number 121115) and her current practice location is
4760 Sepulveda Blvd, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 390-6612.
NPI number for Shiva Banafti is 1154831311 and her current mailing address is 323 N Prairie Ave, Inglewood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154831311.
Healthcare Provider's Profile
| Full Name | Shiva Banafti |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 4760 Sepulveda Blvd, Culver City, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154831311
- Provider Enumeration Date: 10/02/2017
- Last Update Date: 06/07/2024
Medical Identifiers
Medical identifiers for Shiva Banafti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154831311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 92135 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 121115 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shiva Banafti is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shiva Banafti,
323 N Prairie Ave,
Inglewood, CA 90301-4502
Ph: (310) 846-2100 | Shiva Banafti,
4760 Sepulveda Blvd,
Culver City, CA 90230
Ph: (310) 390-6612 |
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