Active NPI
Steven E Bansbach M D a Medical Corporation
- Anesthesiology Physician
- Westlake Village, CA
National Provider Identifier
1114936309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C35241
- Legal business name
- STEVEN E BANSBACH M D A MEDICAL CORPORATION
- Practice address
- 696 Hampshire Rd Ste 100
Westlake Village, CA 91361-4456 - Phone
- (805) 413-7920
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven E. Bansbach, M.D.
- Title
- President
- Phone
- (310) 440-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C35241 | CA | Primary |
Addresses
Primary practice location
696 Hampshire Rd Ste 100
Westlake Village, CA 91361-4456
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C352410 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Steven E Bansbach M D a Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Thousand Oaks, CA
- NPI 1558469544
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Westlake Village, CA
- NPI 1609985308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1114936309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 HAMPSHIRE RD STE 100",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913614456",
"telephone_number": "805-413-7920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN E BANSBACH M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "BANSBACH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-440-3131",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "C35241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C352410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.