Active NPI
Los Banos Primary Care, Inc
- Rural Health Clinic/Center
- Los Banos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raminder Mand, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CA
Enrollment records 2
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
- Corporation
- Enrollment address
- 1120 W I St
Ste B
Los Banos, CA 93635-3970
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2200974 | Los Banos Primary Care, Inc | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Raminder P Mand | 5% Or Greater Direct Ownership Interest | Jun 18, 2019 | 100% |
| Corporate Officer | Jun 18, 2019 | 100% | |
| Corporate Director | 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.
-
- Nephrology Physician
- Turlock, CA
- NPI 1609032358
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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.
-
- Nephrology Physician
- Turlock, CA
- NPI 1609032358
-
- Pediatric Adolescent Medicine Physician
- Los Banos, CA
- NPI 1457545832
-
- Nurse Practitioner
- Ridgecrest, CA
- NPI 1780103291
-
- Physician Assistant
- Modesto, CA
- NPI 1174656615
-
- Pediatrics Physician
- Los Banos, CA
- NPI 1043574841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.