NPIMap

Individual provider Active NPI

Edward Jacob Banman, MD

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1538183116
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A25989 Issued in CA
Practice address
3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161
Phone
(805) 653-0303
Fax
(805) 653-5761
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A25989 CA Primary

Addresses

Primary practice location

3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161

Mailing address

3555 Loma Vista Rd
Suite 110
Ventura, CA 93003-3161
Phone (805) 653-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000602 CA Practitioner - Family Practice 4587632310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Medical Group of Ventura County IncGroup PAC ID 0345218160, 42 clinicians

Practice addresses (Care Compare)

2772 Johnson Dr
Suite 200
Ventura, CA 93003-7262
Phone (805) 642-1430

Hospital & facility affiliations

  • Assisted Home Care Home health agency, Ventura, CA, CCN 058039
  • Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
  • Livingston Memorial Visiting Nurse Association Home health agency, Ventura, CA, CCN 057040
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A25989CAMDFamily Medicine Physician
25989CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Past Accepting new patients
Community Memorial Hospital District Past Accepting new patients
Loma Linda University Medical Center PastSince Sep 1, 1994 Accepting new patients
Primary Medical Group of Ventura County Inc Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Primary Medical Group of Ventura Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edwardbanman@prmg.allscriptsdirect.net
  • Direct secure messaging: edward.banman.1@21226.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1538183116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-0303",
            "fax_number": "805-653-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LOMA VISTA RD",
            "address_2": "SUITE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033161",
            "telephone_number": "805-653-0303",
            "fax_number": "805-653-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANMAN",
        "first_name": "EDWARD",
        "middle_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A25989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.