Individual provider Active NPI

Peter Banys, M.D., M.SC.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1174520241
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G-027613 Issued in CA
Practice address
3600 California St
(At Spruce)
San Francisco, CA 94118-1702
Phone
(415) 388-7949
Fax
(415) 388-8000
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X G-027613 CA
Psychiatry Physician 2084P0800X G-027613 CA Primary
Addiction Psychiatry Physician 2084P0802X G-027613 CA

Addresses

Primary practice location

3600 California St
(At Spruce)
San Francisco, CA 94118-1702

Mailing address

3600 California St
(At Spruce)
San Francisco, CA 94118-1702
Phone (415) 388-7949

Other identifiers 1

IdentifierTypeStateIssuer
G-027613OtherCACALIF. MEDICAL LICENSE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G-027613CAMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1174520241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CALIFORNIA ST",
            "address_2": "(AT SPRUCE)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181702",
            "telephone_number": "415-388-7949",
            "fax_number": "415-388-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CALIFORNIA ST",
            "address_2": "(AT SPRUCE)",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181702",
            "telephone_number": "415-388-7949",
            "fax_number": "415-388-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANYS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G-027613",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G-027613",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "G-027613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF. MEDICAL LICENSE",
            "identifier": "G-027613",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.