Carol Ann Banyas, MD
Individual provider Active NPI Psychosomatic Medicine Physician · Danville, CA
NPI 1881806313 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1881806313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychosomatic Medicine Physician 2084P0015X
- License
- A052936 (CA)
- Practice address
- 203 Sycamore Valley Rd W
Danville, CA 94526-3947 - Phone
- (925) 838-2138
- Fax
- (925) 838-2136
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52936 | CA | MD | Pharmacist |
| A052936 | CA | MD | Psychosomatic Medicine Physician |
| A62936 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Psychiatric Associates | Past |
Accepting new patients | |
| Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation | Past | Accepting new patients |
Interoperability endpoints
- cbanyas215581@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | A052936 | CA | Yes |
Addresses
Primary practice location
203 Sycamore Valley Rd W
Danville, CA 94526-3947
Mailing address
203 Sycamore Valley Rd W
Danville, CA 94526-3947
Phone (925) 838-2138
Other providers in Danville, CA
- Jontae Bailey
- Asha Kiran Bajaj
- Paul Lawrence Bancroft
- Kiersten Banke
- Vivek Bansal
- Isabel Barba Perez
- Barman & Sargent Inc
- Carol Marie Barrett
- Jillian G Barrett
- Sebastian Florentin Basalic
All providers in Danville, CA · Psychosomatic Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.