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RAY ALLEN BANDA
NPI 1720349871
Military Health Care Provider - Independent Duty Corpsman in San Clemente, CA

Active since June 05, 2012
644A PULLER PL, SAN CLEMENTE, CA 92672(760) 994-4747 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ray Allen Banda NPPES

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

RAY ALLEN BANDA (NPI 1720349871) is an individual independent duty corpsman provider in San Clemente, California and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1720349871
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameRAY ALLEN BANDA
Location Address644A PULLER PLSan Clemente, CA 92672-2563
Mailing Address644a Puller PlSan Clemente, CA 92672-2563 · (760) 994-4747
Phone(760) 994-4747
Sole ProprietorYes
Enumeration DateJune 5, 2012
✔ NPI 1720349871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
644A PULLER PL, San Clemente, CA 92672
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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 Ray Banda's NPI number?

The NPI number for Ray Banda is 1720349871. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Ray Banda located?

Ray Banda practices at 644A Puller Pl, San Clemente, CA 92672. The listed phone number is (760) 994-4747.

What is Ray Banda's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Ray Banda was last updated on June 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.