Dennis Mabanag Cabangca, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95002406 Issued in CA

Practice address

600 W I St Ste C
Los Banos, CA 93635-3460

Phone

(209) 710-4124

Fax

(209) 710-4131

NPI assigned

Jun 14, 2015

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Trinity Medical Group Inc

  • General Practice Physician
  • Los Banos, CA
  • NPI 1932740511
  Medicare reassignment NPD Authorized official
• Dennis M. Cabangca

  • General Practice Physician
  • Los Banos, CA
  • NPI 1730747122
  NPD Authorized official

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1407237670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W I ST STE C",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353460",
            "telephone_number": "209-704-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W I ST STE C",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353460",
            "telephone_number": "209-710-4124",
            "fax_number": "209-710-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANGCA",
        "first_name": "DENNIS",
        "middle_name": "MABANAG",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Bristow
• Nataly Brotherton
• Desiree Brown
• Susan Cheryl Burnett-Hampson, NP
• Latasha Shannon Butler, PA
• Karla Maria Cabrera Lopez, MPS, RDN, CPT
• Nobi Cabrera
• Ian Carlo Biaco Cadiz, MD
• Judy Cai, P.T., D.P.T.
• Charles John Calcagno, D.C.

• Family Nurse Practitioner in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.