Organization Active NPI

Daryl P Banta M.D., Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pasadena, CA
National Provider Identifier
1316259179
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
DARYL P BANTA M.D., INC.
Practice address
39 Congress St Ste 201a
Pasadena, CA 91105-3021
Phone
(626) 486-0181
Fax
(626) 486-0189
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Daryl P Banta, M.D.,
Title
Doctor
Phone
(626) 486-0181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

39 Congress St Ste 201a
Pasadena, CA 91105-3021

Mailing address

PO Box 50148
Pasadena, CA 91115-0148
Phone (626) 486-0181

Other identifiers 1

IdentifierTypeStateIssuer
CH151AOtherCAMEDICARE NUMBER

National Provider Directory

National Provider Directory

Locations

39 Congress St
Ste 201A
Pasadena, CA 91105
Phone (626) 486-0181

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1316259179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50148",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150148",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST STE 201A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053021",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL P BANTA M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BANTA",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-486-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "CH151A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.