DR. MICHELLE M BANTA M.D.
NPI 1588740138
Psychiatry & Neurology - Psychiatry in San Diego, CA

Q: What is Michelle Banta's NPI number?

The NPI number for Michelle Banta is 1588740138. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Michelle Banta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Banta was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 27, 2006

4060 FOURTH AVE, SUITE 330, SAN DIEGO, CA 92103(619) 291-2274(619) 291-2274 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Michelle M Banta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE M BANTA M.D. (NPI 1588740138) is an individual psychiatry provider in San Diego, California, licensed in California (G48751) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1588740138

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MICHELLE M BANTACredential: M.D.

Location Address4060 FOURTH AVE, SUITE 330San Diego, CA 92103-2116

Mailing Address4060 Fourth Ave, Suite 330San Diego, CA 92103-2116 · (619) 291-2274 · Fax (619) 291-2274

Phone(619) 291-2274

Fax(619) 291-2274

Sole ProprietorYes

Enumeration DateOctober 27, 2006

Last NPPES UpdateFebruary 25, 2008

✔ NPI 1588740138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G48751

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4060 FOURTH AVE, San Diego, CA 92103

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Other Identifiers 2

Medicare ID-Type UnspecifiedG48751CA

Medicare UPINA92846CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BS KHEHAR MD INC

Internal Medicine

4060 FOURTH AVE, SUITE 335
SAN DIEGO, CA 92103

San Diego County (619) 291-9285

PAUL D WAGNER M D INC

Internal Medicine

4060 FOURTH AVE, SUITE 100
SAN DIEGO, CA 92103

San Diego County (619) 718-9444

JEFFREY ROBERT TOMAN M.D.

Colon & Rectal Surgery

4060 FOURTH AVE, SUITE 510
SAN DIEGO, CA 92103

San Diego County (619) 686-4011

MICHAEL J. NELMS PA-C

Physician Assistant

4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103

San Diego County (619) 298-9809

MELISSA JANOVITCH P.A.

Physician Assistant (Medical)

4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103

San Diego County (619) 298-9809

JERROLD GLASSMAN M.D.

Internal Medicine (Cardiovascular Disease)

4060 FOURTH AVE, SUITE 650
SAN DIEGO, CA 92103

San Diego County (619) 819-7222

MS. ARACELI ESTRADA-ORTEGA RDN, CDN

Dietitian, Registered

4060 FOURTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 298-9931

DR. KAREN HERBST JAMISON M.D.

Internal Medicine

4060 FOURTH AVE, SUITE 505
SAN DIEGO, CA 92103

San Diego County (619) 298-1318

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 Michelle Banta's NPI number?

The NPI number for Michelle Banta is 1588740138. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Michelle Banta located?

Michelle Banta practices at 4060 Fourth Ave Suite 330, San Diego, CA 92103. The listed phone number is (619) 291-2274.

What is Michelle Banta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Michelle Banta was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.