Omar Banda, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

121 Linden Ave Ste 108-B
Long Beach, CA 90802-4990

Phone

(562) 275-8966

Fax

(562) 735-4141

NPI assigned

Apr 25, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Transforming Life Center, Inc

  • Community/Behavioral Health Agency
  • Bellflower, CA
  • NPI 1477997229
  NPD Authorized official

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1962846576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LINDEN AVE STE 108-B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024990",
            "telephone_number": "562-275-8966",
            "fax_number": "562-735-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LINDEN AVE STE 108-B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024990",
            "telephone_number": "562-275-8966",
            "fax_number": "562-735-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "OMAR",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Baluyot
• Shelby Lorene Balyan
• Mehtab Bambrah-Dhamija, MD
• Ariana Amaya Banda
• Marisela Banda, CADACII
• Veronica Banda
• May Lolo Banigo, M.D.
• Traci Bank, M. A.
• Richard None Bankhead
• Arielle Nichole Banks

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.