DARYL P BANTA M.D., INC.


Address: 39 Congress St Ste 201a, Pasadena, CA 91105-3021
Phone: 6264860181

DARYL P BANTA M.D., INC. (NPI# 1316259179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316259179
Entity Type Organization
Organization Name DARYL P BANTA M.D., INC.
Practice Address 39 Congress St Ste 201a
Pasadena
CA 91105-3021
Mailing Address Po Box 50148
Pasadena
CA 91115-0148
Practice Telephone 6264860181
Practice Fax Number 6264860189
Mailing Telephone 6264860181
Mailing Fax Number 6264860189
Enumeration Date 2010-07-09
Last Update Date 2011-08-09
Authorized Official Name DR. DARYL P BANTA (DOCTOR)
Authorized Official Telephone 6264860181
Authorized Official Credential M.D.,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE NUMBER CH151A 01

Office Location

Street Address 39 CONGRESS ST STE 201A
City PASADENA
State CA
Zip Code 91105-3021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1548778541 Elias & Jun Dental Corp Dentist 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 2018-01-12
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790981678 Earl S. Young, Md, Apc Internal Medicine 50 Bellefontaine St Ste 206, Pasadena, CA 91105-3132 2007-06-26
1326083288 Louis Marc Hamer Internal Medicine 5010 Crenshaw, Suite #100, Pasadena, TX 77505 2006-06-17
1639151830 Earl S. Young Internal Medicine 959 E. Walnut St., Suite 120, Pasadena, CA 91106 2005-11-15
1194113803 Huntington Pulmonary Medical Group Internal Medicine 39 Congress St, Suite 201, Pasadena, CA 91105-3024 2015-01-05
1104172063 Texas Pulmonary and Sleep Clinic, Pa Internal Medicine 3301 Plainview St, Suite #8, Pasadena, TX 77504-1929 2012-07-30
1164786893 Ashish B Patel Md Inc Internal Medicine 39 Congress St, Suite 201, Pasadena, CA 91105-3024 2012-06-27
1689980096 Jihane Zaza Dit Yafawi Internal Medicine 959 E Walnut St, Pasadena, CA 91106-1451 2010-08-23
1508050865 Bahman Saatian Internal Medicine 959 E Walnut St Ste 120, 41 Mall Road, Pasadena, CA 91106-5364 2007-08-30
1922204270 George Michael Nassif Internal Medicine 3301 Plainview St, Suite #8, Pasadena, TX 77504-1929 2007-06-25
1801811955 James Wah Wong Internal Medicine 50 Bellefontaine St, 206, Pasadena, CA 91105-3132 2006-07-12
Find all providers in PASADENA

Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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