Active NPI
Sanjoy Banerjee, M.D.
- Anesthesiology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A90939
- Practice address
- 2097 Compton Ave
Suite 102
Corona, CA 92881-7282 - Phone
- (951) 735-7246
- Fax
- (951) 268-9516
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A90939 | CA | Primary |
Addresses
Primary practice location
2097 Compton Ave
Suite 102
Corona, CA 92881-7282
Mailing address
2097 Compton Ave
Suite 102
Corona, CA 92881-7282
Phone (951) 735-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A909390 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107001055 | CA | Practitioner - Pain Management | 8224056395 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90939 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjoy Banerjee MD Inc | Anesthesiology | Current | Accepting new patients |
| Rochester Imperial Surgical Center LLC | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2097 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 273-0555
25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777
1211 W 6th St
Ontario, CA 91762
Phone (909) 933-6580
36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595
Phone (951) 735-7246
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Corona, CA
- NPI 1619287364
-
- Ambulatory Surgical Clinic/Center
- Wildomar, CA
- NPI 1386064624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1295773422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 COMPTON AVE",
"address_2": "SUITE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817282",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 COMPTON AVE",
"address_2": "SUITE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817282",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANERJEE",
"first_name": "SANJOY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A90939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A909390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.