Individual provider Active NPI

Christian Bannerman, M.D

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1700068756
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C173323 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Dec 1, 2007
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C173323 CA Primary
Emergency Medicine Physician 207P00000X 60243210 NY

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other practice location 1

10825 Merrick Blvd
Jamaica, NY 11433-2906
Phone (718) 658-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080430000229 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 5597844761 Reassigns benefits to 1 organization
I20210812001561 CA Practitioner - Emergency Medicine 5597844761 Reassigns benefits to 5 organizations
I20251209001469 OK Practitioner - Emergency Medicine 5597844761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

430 N Monte Vista St
Ada, OK 74820-4610
Phone (580) 332-2323

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C173323CAMDEmergency Medicine Physician
60243210NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Sep 21, 2024 Accepting new patients
Swift Emergency Care PC Current Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Sep 21, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Regents of the University of California CurrentSince May 28, 2023 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Premier Health Partners Emergency Medicine CurrentSince Dec 6, 2025 Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Nov 13, 2023 Accepting new patients
Regents of the University of California Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
South Nassau Communities Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
St Josephs Hospital Health Center Past Accepting new patients
Keystone Medical Services of Niagara Falls PC Emergency Medicine Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Uniontown Hospital Past Accepting new patients

Locations

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

250 N 1st St
Blythe, CA 92225
Phone (760) 321-5123

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

9449 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 252-2184

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1700068756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10825 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114332906",
            "country_code": "US",
            "telephone_number": "718-658-9700",
            "fax_number": "718-659-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNERMAN",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-01",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C173323",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "60243210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.