Active NPI
Sanjoy Banerjee MD Inc
Doing business as Pacific Pain Care Consultants
- Pain Medicine (Anesthesiology) Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A90939
- Legal business name
- SANJOY BANERJEE MD INC
- Doing business as
- Pacific Pain Care Consultants
- Practice address
- 2097 Compton Ave
Ste 102
Corona, CA 92881-7282 - Phone
- (951) 735-7246
- Fax
- (951) 268-9516
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjoy Banerjee, MD
- Title
- Corporate Owner
- Phone
- (951) 735-7246
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A90939 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A90939 | CA | Primary |
Addresses
Primary practice location
2097 Compton Ave
Ste 102
Corona, CA 92881-7282
Mailing address
2097 Compton Ave
Ste 102
Corona, CA 92881-7282
Phone (951) 735-7246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295773422 | Other | INDIVIDUAL NPI | |
| 1619287365 | Medicaid | CA |
Other names 1
- PACIFIC PAIN CARE CONSULTANTS
National Provider Directory
National Provider DirectoryLocations
1561 E Ontario Ave
Ste 103A
Corona, CA 92881
Phone (951) 688-5437
36243 Inland Valley Dr
Ste 20
Wildomar, CA 92595
Phone (909) 304-7103
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Corona, CA
- NPI 1295773422
-
- Nurse Practitioner
- San Jacinto, CA
- NPI 1215172267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1619287364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 COMPTON AVE",
"address_2": "STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817282",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 COMPTON AVE",
"address_2": "STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817282",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANJOY BANERJEE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-15",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "BANERJEE",
"authorized_official_first_name": "SANJOY",
"authorized_official_title_or_position": "CORPORATE OWNER",
"authorized_official_telephone_number": "951-735-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A90939",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A90939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1295773422",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619287365",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PACIFIC PAIN CARE CONSULTANTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.