Gwendolyn Banes, REGISTERED NURSE

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

RN655020 Issued in CA

Practice address

4017 42ND St
San Diego, CA 92105-1506

Phone

(619) 236-9492

Fax

(619) 236-9127

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1255824959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 42ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051506",
            "telephone_number": "619-236-9492",
            "fax_number": "619-236-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 42ND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051506",
            "telephone_number": "619-236-9492",
            "fax_number": "619-236-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANES",
        "first_name": "GWENDOLYN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "RN655020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "A2634637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Merlene Bandy, BCBA
• Leticia Isabel Bane
• Kavon Banejad
• Rafal Boguslaw Banek, CRNA
• Shreya Banerjee
• Simran Singh Banga, DO
• Sasha S Bangs, PA-C
• Kyle Andrew Banh-Hasenstein, PA-C
• Adrienne Lu Banh
• Andrew Banh, P.T., D.P.T.

• Community Health Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.