Ray Allen Banda

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

644A Puller PL
San Clemente, CA 92672-2563

Phone

(760) 994-4747

NPI assigned

Jun 5, 2012

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1720349871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644A PULLER PL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722563",
            "telephone_number": "760-994-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644A PULLER PL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722563",
            "telephone_number": "760-994-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "RAY",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Baker, SLPA
• Balanced by Katie Physical Therapy Yoga & Wellness (Balanced by Katie)
• Nathan J Balfanz, PSY.D.
• Patrick Banas
• Jessica Bancroft, DPT
• Molly Katherine Banks, LCSW
• Teresa Molina Barbanell, P.T.
• Karen Taylor Barnes, PTA
• Taylor Paige Barragan-Bareng, B.S., SLPA
• Gilbert Ruiz Barrera Jr., IDC

• Independent Duty Corpsman in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.