John Robert Debanto, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G86400 Issued in CA

Practice address

1412 1/2 Calumet Ave
Los Angeles, CA 90026-5494

Phone

(678) 897-3726

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrd114pcs@m1133.primeclinicalsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD
• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909
  Medicare reassignment NPD
• Challa Ajit, M.D. LLC

  • Gastroenterology Physician
  • Springfield, OH
  • NPI 1629142815
  Medicare reassignment NPD
• Anaheim Urgent Care, Inc

  dba Advanced Urgent Care of Beverly Hills

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• Anaheim Urgent Care, Inc.

  dba UrgentMed

  • Urgent Care Clinic/Center
  • Pasadena, CA
  • NPI 1467960914
  NPD
• Adams County Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Seaman, OH
  • NPI 1114575560
  NPD
• Adams County Regional Medical Center

  dba Adams County Regional Medical Center (ACRMC) Family Medicine

  • Rural Health Clinic/Center
  • Peebles, OH
  • NPI 1114640240
  NPD
• Gcga Physicians Inc.

  dba Ohio GI & Liver Institute

  • Gastroenterology Physician
  • Cincinnati, OH
  • NPI 1790851095
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1033175922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 STOCKDALE HWY",
            "address_2": "STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113653",
            "telephone_number": "678-897-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 1/2 CALUMET AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265494",
            "telephone_number": "678-897-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBANTO",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G86400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10331756922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trier M Dearth
• Jessica Deas, MD
• Richard Bauman Deaton, PSY.D.
• Joel Deayon III
• Arjun Deb, MD
• Breiaunte Debaun, LVN
• Melissa Matilde Debayle, M.D.
• Debbie J. Kim, O.D., Professional Corporation
• Miriam Monique Deberry, LMFT
• Amanda Debesirian

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.