Individual provider Active NPI

Aaron Elijah Banks, M.D

  • Pediatric Cardiology Physician
  • Bakersfield, CA
National Provider Identifier
1447283775
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A83169 Issued in CA
Practice address
500 Old River Rd
Suite 105
Bakersfield, CA 93311-9504
Phone
(877) 664-0808
Fax
(800) 691-2492
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X A83169 CA Primary
Pediatric Cardiology Physician 2080P0202X MD2023-1255 NM

Addresses

Primary practice location

500 Old River Rd
Suite 105
Bakersfield, CA 93311-9504

Mailing address

PO Box 6489
Torrance, CA 90504-0489
Phone (877) 664-0808

Other practice location 1

933 Bradbury Dr SE Ste 2222
Albuquerque, NM 87106-4375
Phone (505) 272-3303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101001791 NM Practitioner - Pediatric Medicine 7719333491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83169CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Unm Medical Group Inc CurrentSince Sep 20, 2023 Accepting new patients
Pediatric Heart Center, Inc. Pediatric Cardiology Past Accepting new patients
Reston Hospital Center LLC Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Prince William Hospital Past Accepting new patients
The Fauquier Hospital Inc Past Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1447283775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6489",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905040489",
            "telephone_number": "877-664-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119504",
            "telephone_number": "877-664-0808",
            "fax_number": "800-691-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Bradbury Dr SE Ste 2222",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064375",
            "country_code": "US",
            "telephone_number": "505-272-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "AARON",
        "middle_name": "ELIJAH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A83169",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NM",
            "license": "MD2023-1255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.