NPIMap

Organization Active NPI

Sanjay Banerji, M.D., Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1811017486
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G79467 Issued in CA
Legal business name
SANJAY BANERJI, M.D., INC.
Practice address
1245 Wilshire Blvd
Suite 804
Los Angeles, CA 90017-4810
Phone
(213) 977-0913
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Andy Dobrzynski
Title
Manager
Phone
(213) 481-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G79467 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
Suite 804
Los Angeles, CA 90017-4810

Mailing address

PO Box 17959
Los Angeles, CA 90017-0959
Phone (213) 481-0592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1811017486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17959",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900170959",
            "telephone_number": "213-481-0592",
            "fax_number": "213-481-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-977-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY BANERJI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "DOBRZYNSKI",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-481-0584"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G79467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.