Edgar Corrales Banez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52430 Issued in CA

Practice address

4867 Eagle Rock Blvd
Ste.#1
Los Angeles, CA 90041-2657

Phone

(323) 254-6754

Fax

(323) 257-5949

NPI assigned

Aug 31, 2006

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• LMC Senior Care Clinic Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1871284661
  NPD
• Eagle Rock Medical Center

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1972283760
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1275644098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD",
            "address_2": "STE.#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412657",
            "telephone_number": "323-254-6754",
            "fax_number": "323-257-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 EAGLE ROCK BLVD",
            "address_2": "STE.#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412657",
            "telephone_number": "323-254-6754",
            "fax_number": "323-257-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEZ",
        "first_name": "EDGAR",
        "middle_name": "CORRALES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Banerjee, M.D., M.P.H.
• Kasturi Banerjee, PHD
• Robyn Nathan Banerjee, MD
• Sudeep Banerjee
• Rita Baneviciene
• Michael B. Banffy, MD
• Dennis J Bang, M.D.
• Hannah G Bang
• Jason Brian Bang, M.D.
• Kristen Bang

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.