Active NPI
Dawn O Banks, P.A.
- Physician Assistant
- Loma Linda, CA
National Provider Identifier
1699705574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17326
- Practice address
- 25455 Barton Rd
Suite 204B
Loma Linda, CA 92354-3128 - Phone
- (909) 558-6600
- Fax
- (909) 558-3905
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17326 | CA | Primary |
Addresses
Primary practice location
25455 Barton Rd
Suite 204B
Loma Linda, CA 92354-3128
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3111
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699705574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-558-3111",
"fax_number": "909-558-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25455 BARTON RD",
"address_2": "SUITE 204B",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543128",
"telephone_number": "909-558-6600",
"fax_number": "909-558-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DAWN",
"middle_name": "O",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.