Peter T. Banos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G077634 Issued in CA

Practice address

1217 Floribunda Ave
#4
Burlingame, CA 94010-8103

Phone

(714) 655-3152

NPI assigned

Sep 9, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1942495353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 FLORIBUNDA AVE",
            "address_2": "#4",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940108103",
            "telephone_number": "714-655-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 FLORIBUNDA AVE",
            "address_2": "#4",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940108103",
            "telephone_number": "714-655-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANOS",
        "first_name": "PETER",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-09",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G077634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alden Bahr
• Mary Ellen Bailey, O.D.
• Bruce Glen Bainton, MD
• Star Baird, LCSW
• Ahna E Bali, BS/BM, MEAD
• Banyan Psychology Inc. (Banyan Behavioral Health)
• Tamara Zawaideh Baqleh, DPT
• Tiffany Loraine Barnfield, CAADE:8055R
• Debra A Barra-Stevens, MD
• Barbie Jane Barrett, M.D.

• General Practice Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.