MR. DANN OMAR GANS BANAAG DNP, NNP-C
NPI 1639842198
Nurse Practitioner - Neonatal, Critical Care in Loma Linda, CA

Active since July 29, 2021PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4483 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dann Omar Gans Banaag Dnp, Nnp-c NPPES

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

MR. DANN OMAR GANS BANAAG DNP, NNP-C (NPI 1639842198) is an individual neonatal, critical care provider in Loma Linda, California, licensed in California (95017203) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639842198
Entity TypeIndividualMale
Primary Taxonomy363LN0005X
Provider Legal NameMR. DANN OMAR GANS BANAAGCredential: DNP, NNP-C
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address34040 Lake Breeze DrYucaipa, CA 92399-6916 · (909) 456-0847
Sole ProprietorNo
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
NPI 1639842198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License Licensed in CA · 95017203
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Dann Omar Gans Banaag Dnp, Nnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Dann Omar Banaag's NPI number?

The NPI number for Dann Omar Banaag is 1639842198. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Dann Omar Banaag located?

Dann Omar Banaag practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4483.

What is Dann Omar Banaag's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Dann Omar Banaag enrolled in Medicare?

Yes. Dann Omar Banaag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dann Omar Banaag was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.