MR. DANN OMAR GANS BANAAG DNP, NNP-C
NPI 1639842198
Nurse Practitioner - Neonatal, Critical Care in Loma Linda, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Dann Omar Banaag reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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.
Which organization bills Medicare for Dann Omar Banaag's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dann Omar Banaag reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dann Omar Banaag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Dann Omar Gans Banaag, DNP, NNP-C · NPI 1639842198
Neonatal, Critical Care physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1639842198 (Entity type: Individual)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 95017203 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639842198) · Data from the CMS NPPES public registry.