CLINICA WESTERN
NPI 1215100417
Clinic/Center - Primary Care in Los Angeles, CA
About Clinica Western NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA WESTERN (NPI 1215100417) is a healthcare organization registered as a primary care in Los Angeles, California and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Dante Atienza Banta, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0903012
Clinica Western Family Medical Clinic · Los Angeles, CAOther Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90029
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dante A. Banta, M.D., Inc.'s NPI number?
The NPI number for Dante A. Banta, M.D., Inc. is 1215100417. It was assigned to this organization in the NPPES registry on April 8, 2008. The provider is doing business as Clinica Western.
Where is Dante A. Banta, M.D., Inc. located?
Dante A. Banta, M.D., Inc. is located at 875 N Western Ave, Los Angeles, CA 90029. The listed phone number is (323) 461-0777.
What is Dante A. Banta, M.D., Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Dante A. Banta, M.D., Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0903012) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Dante A. Banta, M.D., Inc. was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.