Active NPI
Joseph Patrick Banner
- Psychologist
- Orange, CA
National Provider Identifier
1093660342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 94028052
- Practice address
- 4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504 - Phone
- (714) 834-4337
- NPI assigned
- Mar 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 94028052 | CA | Primary |
Addresses
Primary practice location
4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504
Mailing address
4000 W Metropolitan Dr Ste 405
Orange, CA 92868-3504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94028052 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1093660342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W METROPOLITAN DR STE 405",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W METROPOLITAN DR STE 405",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683504",
"telephone_number": "714-834-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNER",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-02",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94028052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.