Lesan Banko, M.D. Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A104321 Issued in CA

Legal business name

LESAN BANKO, M.D. INC.

Practice address

12984 Hesperia Rd Ste 100
Victorville, CA 92395-5819

Phone

(760) 843-7675

Fax

(760) 843-7649

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Lesanemarie T Banko, M.D.

Title

Ceo

Phone

(760) 843-7675

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesanemariam Tenkir Banko, M.D.

  • Cardiovascular Disease Physician
  • Victorville, CA
  • NPI 1861648560
  Medicare reassignment NPD

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1093044794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12984 HESPERIA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955819",
            "telephone_number": "760-843-7675",
            "fax_number": "760-843-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12984 HESPERIA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955819",
            "telephone_number": "760-843-7675",
            "fax_number": "760-843-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 Hesperia Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-843-7675",
            "fax_number": "760-843-7649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LESAN BANKO, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BANKO",
        "authorized_official_first_name": "LESANEMARIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-843-7675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A104321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Jean Lemley, MFT, INTERN
• Jill Lemus, LVN
• Katherine Lemus
• Luis Leon, P.A.
• Leonard J. Petitti, DDS, Inc
• Paige Leslie
• Paulo A Leufroy, DPT
• Jonathan Levin, M.D.
• Dedra Y Lewis, COTA/L
• Edmund W Lewis

• Cardiovascular Disease Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.