Individual provider Active NPI

Cesar Antonio Banda, M.D.

  • Family Medicine Physician
  • Fair Oaks, CA
National Provider Identifier
1225067044
Registry record updated Jun 28, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54130 Issued in CA
Practice address
6608 Mercy CT
Suite a
Fair Oaks, CA 95628-3170
Phone
(916) 289-0415
NPI assigned
Jul 2, 2006
Last updated
Jun 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54130 CA Primary

Addresses

Primary practice location

6608 Mercy CT
Suite a
Fair Oaks, CA 95628-3170

Mailing address

PO Box 2101
Carmichael, CA 95609-2101
Phone (916) 289-0415

Other identifiers 1

IdentifierTypeStateIssuer
00A541300OtherMEDI CAL

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
River City Medical Group, Inc. Family Medicine PastSince Nov 5, 2012 Accepting new patients
Capital Medical Extended Care Past Accepting new patients
Chandan DS Cheema MD Inc PastSince May 1, 2007 Accepting new patients
Sanctuary Hospice Family Medicine PastSince Dec 26, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1225067044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956092101",
            "telephone_number": "916-289-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT",
            "address_2": "SUITE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283170",
            "telephone_number": "916-289-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "CESAR",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A541300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.