Organization Active NPI

Los Banos Primary Care, Inc

  • Rural Health Clinic/Center
  • Los Banos, CA
National Provider Identifier
1851952113
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOS BANOS PRIMARY CARE, INC
Practice address
1120 W I St Ste B
Los Banos, CA 93635-3970
Phone
(209) 777-3500
NPI assigned
Jun 26, 2019
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Raminder Mand, MDNPI 1609032358
Title
Ceo
Phone
(209) 500-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1120 W I St Ste B
Los Banos, CA 93635-3970

Mailing address

PO Box 579837
Modesto, CA 95357-5837
Phone (209) 500-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190924001836 CA Part B Supplier - Clinic/Group Practice 8628308376 Receives reassigned benefits from 4 practitioners
Practice locations: Los Banos, CA
O20230629002168 CA Part A Provider - Rural Health Clinic 8628308376 Practice locations: Los Banos, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851952113. Details of each certification follow.

Rural health clinic certification: CCN 558915

Legal name
LOS BANOS PRIMARY CARE INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 3, 2023
Last certification
Oct 3, 2023
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
1120 W I St
Ste B
Los Banos, CA 93635-3970

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2200974Los Banos Primary Care, Inc1120 West I Street Suite B, Los Banos, CA 93635Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

1120 W I St
Ste B
Los Banos, CA 93635
Phone (209) 394-3090

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raminder P Mand Individual 5% Or Greater Direct Ownership Interest Jun 18, 2019 100%
Corporate OfficerCeo Jun 18, 2019 100%
Corporate DirectorPresident Jun 18, 2019 100%
W-2 Managing Employee Sep 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1851952113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579837",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953575837",
            "telephone_number": "209-500-4500",
            "fax_number": "209-710-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W I ST STE B",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353970",
            "telephone_number": "209-777-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS BANOS PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "MAND",
        "authorized_official_first_name": "RAMINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-500-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.