Active NPI
Lisa L. Banks, D.P.M.
- Podiatrist
- Bakersfield, CA
National Provider Identifier
1992945885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E 4808
- Practice address
- 4580 California Ave
Bakersfield, CA 93309-1104 - Phone
- (661) 327-4411
- Fax
- (661) 846-4942
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E 4808 | CA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E 4808 | CA |
Addresses
Primary practice location
4580 California Ave
Bakersfield, CA 93309-1104
Mailing address
PO Box 12396
Bakersfield, CA 93389-2396
Phone (661) 327-4411
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E 4808 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Communities Physician Network, Inc. | Past | Accepting new patients | |
| Craig Anthony Lenz | Podiatrist | Past | Accepting new patients |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Camarda Foot Clinic, Inc. | Podiatrist | Past | Accepting new patients |
| Ms Carmichael SH, LLC | Past | Accepting new patients |
Interoperability endpoints
- lisa.banks.1@17661.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Hesperia, CA
- NPI 1861858904
-
- Podiatrist
- Danville, CA
- NPI 1184770331
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
-
dba Sunrise Assisted Living Of Carmichael
- Assisted Living Facility
- Carmichael, CA
- NPI 1710627690
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1992945885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12396",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933892396",
"telephone_number": "661-327-4411",
"fax_number": "661-846-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 CALIFORNIA AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933091104",
"telephone_number": "661-327-4411",
"fax_number": "661-846-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "LISA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E 4808",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E 4808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.