Individual provider Active NPI

Lori Prakash Banka, D.O.

  • Allergy Physician
  • Torrance, CA
National Provider Identifier
1235419342
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
20A12541 Issued in CA
Practice address
23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone
(310) 833-1334
Fax
(310) 833-0270
NPI assigned
Aug 19, 2011
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 20A12541 CA Primary

Addresses

Primary practice location

23600 Telo Ave Ste 130
Torrance, CA 90505-4036

Mailing address

23600 Telo Ave Ste 130
Torrance, CA 90505-4036
Phone (310) 833-1334

Other practice location 1

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone (562) 496-4749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003186 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4385862119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

23600 Telo Ave
Suite 130
Torrance, CA 90505-4036
Phone (310) 833-1334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12541CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 19, 2024 Accepting new patients
Modena Allergy & Asthma Inc. Allergy CurrentSince Jan 1, 2025 Accepting new patients
Andrew K. Wong, M.D., Inc. CurrentSince Jan 23, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

18600 S Figueroa St
Gardena, CA 90248
Phone (310) 527-4926

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

9850 Genesee Ave
Ste 710
La Jolla, CA 92037
Phone (858) 260-2977

3816 Woodruff Ave
Ste 209
Long Beach, CA 90808
Phone (562) 496-4749

3113 N Sepulveda Blvd
Ste A
Manhattan Beach, CA 90266
Phone (310) 802-2016

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

23600 Telo Ave
Ste 130
Torrance, CA 90505
Phone (310) 833-1334

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1235419342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 TELO AVE STE 130",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054036",
            "telephone_number": "310-833-1334",
            "fax_number": "310-833-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3816 Woodruff Ave Ste 209",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082145",
            "country_code": "US",
            "telephone_number": "562-496-4749",
            "fax_number": "624-293-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKA",
        "first_name": "LORI",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "20A12541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.