Individual provider Active NPI

Marina Banik, D.C.

  • Chiropractor
  • Pasadena, CA
National Provider Identifier
1619909983
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29036 Issued in CA
Practice address
353 E Penn St
Pasadena, CA 91104-1071
Phone
(818) 970-2966
Fax
(626) 346-9144
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29036 CA Primary

Addresses

Primary practice location

353 E Penn St
Pasadena, CA 91104-1071

Mailing address

353 E Penn St
Pasadena, CA 91104-1071
Phone (818) 970-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29036CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Banik Chiropractic Health Center, Inc. Chiropractor PastSince May 26, 2004 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1619909983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E PENN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041071",
            "telephone_number": "818-970-2966",
            "fax_number": "626-346-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E PENN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041071",
            "telephone_number": "818-970-2966",
            "fax_number": "626-346-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIK",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.