Michaela B Banagan, NP

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

18329 Issued in CA

Practice address

5671 Santa Teresa Blvd
San Jose
San Jose, CA 95123-6512

Phone

(408) 284-2281

Fax

(408) 281-2857

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mbarelka574654@direct.ochin.org

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1194963280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7861 MURRAY AVE",
            "address_2": "GILROY",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204604",
            "telephone_number": "408-842-1017",
            "fax_number": "408-842-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 SANTA TERESA BLVD",
            "address_2": "SAN JOSE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236512",
            "telephone_number": "408-284-2281",
            "fax_number": "408-281-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAGAN",
        "first_name": "MICHAELA",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "18329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurea Balverde
• Michael Oran Bambico, D.D.S.
• Navdeep Bamrah, NP
• Ban H. Huynh O.D. Inc.
• Hideyuki Ban, D.C.
• Sarah Banayat
• Angelica Perez Banda
• Sai Priyanka Bandi, RADT
• Julie Beth Bandy
• Kelsey Elizabeth Banes, PHD

• Community Health Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.