Kalila Deniece Banks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19269 Issued in CA

Practice address

1120 E Church Ave
Fresno, CA 93706

Phone

(559) 457-6970

Fax

(559) 457-6995

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kalila.banks.p4@direct.vht.nextgenshare.com

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.

• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment
• Clinica Sierra Vista

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Wofford Heights, CA
  • NPI 1437151800
  NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1508066671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W SIERRA ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311756",
            "telephone_number": "559-326-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E CHURCH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93706",
            "telephone_number": "559-457-6970",
            "fax_number": "559-457-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 North Bridge Street",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932919678",
            "country_code": "US",
            "telephone_number": "559-734-1939",
            "fax_number": "559-734-4384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 North Bridge Street",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932919678",
            "country_code": "US",
            "telephone_number": "559-734-1939",
            "fax_number": "559-734-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KALILA",
        "middle_name": "DENIECE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny Vinh Banh, M.D.
• Nicole Tere Banh, M.D.
• Banigo Behavioral Health Group PHD
• Ashkon Shaheen Banihashemi
• Ashley Banks, RN
• Michelle Banks
• Regina J Banks, ASW
• Ryan Banks, M.P.A.
• Jasmine Bankston
• William Perry Banner, M.D.

• Medical Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.