SOUTH COUNTY ADDICTION AND TREATMENT CENTER – NPI #1073962171
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

SOUTH COUNTY ADDICTION AND TREATMENT CENTER is a provider located in SANTA ANA, CA. NPPES has assigned the NPI number 1073962171 to SOUTH COUNTY ADDICTION AND TREATMENT CENTER on June 09, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH COUNTY ADDICTION AND TREATMENT CENTER” is a dba name, the actual legal business name for this organization is FARIED BANIMAHD MD INC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 6 years ago on Jan 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH COUNTY ADDICTION AND TREATMENT CENTER below.

NPI Profile for
FARIED BANIMAHD MD INC

NPI Number
1073962171
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FARIED BANIMAHD MD INC
Doing Business As (dba): SOUTH COUNTY ADDICTION AND TREATMENT CENTER
Other name(s)
All associated names:
Doing Business As (dba)
SOUTH COUNTY ADDICTION AND TREATMENT CENTER
Doing Business As (dba)
Zephyr Medical Group
Primary location
1533 E 4TH ST STE 4
SANTA ANA, CA 92701-5115
Phone: (949) 347-8721 Fax: (949) 347-8709
Mailing address
1835 NEWPORT BLVD STE A109-559
COSTA MESA, CA 92627-5031
Phone: (949) 347-8721 Fax: (949) 347-8709
Organization Subpart
No
Authorized Official
FARIED BANIMAHD
CHIEF MEDICAL AND EXECUTIVE OFFICER
Phone: (949) 305-8910
Updated
Certification Date
Jan 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.