Prajna Banan

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DDS102179 Issued in CA

Practice address

10833 Le Conte Ave RM A0-156a
Los Angeles, CA 90095-3075

Phone

(310) 825-6510

NPI assigned

Nov 3, 2020

Sex

Female

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Oro-Facial Center Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Tucker, GA
  • NPI 1457897928

  Prosthodontics

  Medicare reassignment NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1952902272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 OHIO AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253120",
            "telephone_number": "832-907-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE RM A0-156A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAN",
        "first_name": "PRAJNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "DDS102179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Belmonte Banaag, M.D.
• Paymon Banafshe, D.O.
• Rozalin Banafsheian, PH.D.
• Banaitis Inc.
• Daniel Banaitis, LMFT
• Pooya Banankhah, M.D.
• Einar Joshua Uniza Banares, MSN, RN, AGACNP-BC
• Vivian Caterio Banaria, D.M.D.
• Charles Joseph Banasky, DDS
• Tanalie Banawa, LVN

• Prosthodontics in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.