Debashree Banerjee, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A41645 Issued in CA

Practice address

770 Mason St
Vacaville, CA 95688-4646

Phone

(707) 454-5800

Fax

(707) 454-5871

NPI assigned

Oct 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1588751952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MASON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884646",
            "telephone_number": "707-454-5800",
            "fax_number": "707-454-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "DEBASHREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A41645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A416450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Balbarova
• George A. Balella Jr., MD
• Cody Ballard
• Rowena Urbina Baloto, RN
• Charlie Joy Jabonete Baltazar, RN
• Karen Barach
• Marie Lynn Barajas, LMFT
• Ralph Samuel Barbero
• John James Barclay, RPH
• Hanieh Barkhodari, DDS

• Pediatrics Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.