Vivian Caterio Banaria, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56586 Issued in CA

Practice address

5300 Santa Monica Blvd
Suite 401
Los Angeles, CA 90029-1131

Phone

(323) 957-9227

NPI assigned

Sep 6, 2012

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Vivian C. Banaria, DMD, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1417391616
  Medicare reassignment NPD Authorized official
• Banaria Dental Group Inc

  • Dentist
  • West Covina, CA
  • NPI 1972160083
  NPD Authorized official

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1245589126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 VINELAND AVE",
            "address_2": "UNIT 11",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065161",
            "telephone_number": "626-337-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "SUITE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-957-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANARIA",
        "first_name": "VIVIAN",
        "middle_name": "CATERIO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banaitis Inc. (Limitless Minds)
• Daniel Banaitis, LMFT
• Prajna Banan
• Pooya Banankhah, M.D.
• Einar Joshua Uniza Banares, MSN, RN, AGACNP-BC
• Charles Joseph Banasky, DDS
• Tanalie Banawa, LVN
• Melody Termechi Banayan, M.S
• Courtney Bancroft, M.S.
• Amanda Banda Raya, LCSW

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.