WARREN BANTA MD, A MEDICAL CORPORATION (NPI# 1992930994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992930994 |
| Entity Type | Organization |
| Organization Name | WARREN BANTA MD, A MEDICAL CORPORATION |
| Practice Address |
875 N Western Ave Los Angeles CA 90029-3759 |
| Practice Telephone | 3234610777 |
| Mailing Telephone | 3234610777 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Authorized Official Name | WARREN BANTA (PRESIDENT) |
| Authorized Official Telephone | 3232299471 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A88514 | CA | Ambulatory Health Care Facilities |
| Street Address |
875 N WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912071085 | Dante Atienza Banta | Family Medicine | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2006-11-20 |
| 1548567480 | Gonzalo Corzo, D.d.s. A Professional Corporation | Dentist | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2011-02-11 |
| 1851605992 | Veronica Morales Banta M.d., Inc. | Clinic/Center | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2010-07-30 |
| 1740439264 | Arturo V. Hernandez, D.d.s. | Point of Service | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2008-09-09 |
| 1265692925 | Veronica M Banta | Family Medicine | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2008-06-16 |
| 1215100417 | Dante A. Banta, M.d., Inc. | Clinic/Center | 875 N Western Ave, Los Angeles, CA 90029-3759 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310124 | Movn Pllc | Clinic/Center | 800 Wilshire Blvd Ste 200, Los Angeles, CA 90017-2608 | 2020-06-12 |
| 1194346387 | Tsoy Acupuncture and Oriental Medicine | Clinic/Center | 1745 Silver Lake Blvd, Los Angeles, CA 90026-1221 | 2020-04-29 |
| 1790304186 | Tatyana Rem | Clinic/Center | 1745 Silver Lake Bvld, Los Angeles, CA 90026-1221 | 2020-04-15 |
| 1255950424 | What's In It, LLC. | Clinic/Center | 10323 Woodbine St Apt 105, Los Angeles, CA 90034-3749 | 2020-04-08 |
| 1386287456 | Cpsn, Inc | Clinic/Center | 10700 Santa Monica Blvd Ste 309, Los Angeles, CA 90025-6587 | 2019-10-22 |
| 1548737794 | American Current Care of California, A Medical Corporation | Clinic/Center | 434 S San Vicente Blvd Ste 100, Los Angeles, CA 90048-4108 | 2018-10-25 |
| 1295201044 | Jwch Institute, Inc. | Clinic/Center | 500 S San Pedro St, Los Angeles, CA 90013-2102 | 2018-10-19 |
| 1609359660 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1300 N Vermont Ave Ste 501, Los Angeles, CA 90027-6098 | 2018-09-14 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1518460658 | Aids Healthcare Foundation | Clinic/Center | 1811 N Western Ave, Los Angeles, CA 90027-3403 | 2018-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on WARREN BANTA MD, A MEDICAL CORPORATION.
| 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.