LOS BANOS PRIMARY CARE, INC
NPI 1851952113
Clinic/Center - Rural Health in Los Banos, CA

Active since June 26, 2019CLIA 05D2200974 · Waiver
1120 W I ST STE B, LOS BANOS, CA 93635(209) 777-3500 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Los Banos Primary Care, Inc NPPES

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

LOS BANOS PRIMARY CARE, INC (NPI 1851952113) is a healthcare organization registered as a rural health in Los Banos, California and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Raminder Mand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851952113
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLOS BANOS PRIMARY CARE, INC
Location Address1120 W I ST STE BLos Banos, CA 93635-3970
Mailing AddressPo Box 579837Modesto, CA 95357-5837 · (209) 500-4500 · Fax (209) 710-8531
Organization SubpartNo
Authorized OfficialRaminder MandCeo · (209) 500-4500
Enumeration DateJune 26, 2019
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1851952113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1120 W I ST STE B, Los Banos, CA 93635

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Los Banos Primary Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Los Banos Primary Care, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Pediatric Medicine
NPI 1457545832
1253 W I ST
Los Banos, CA 93635
(209) 710-6333
✔ PECOSSame address
Nephrology
NPI 1609032358
981 E TUOLUMNE RD SUITE 106
Turlock, CA 95382
(209) 777-3500
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1780103291
1081 N CHINA LAKE BLVD
Ridgecrest, CA 93555
(760) 446-3551
✔ PECOS✔ Accepts Medicare204 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2200974

Los Banos Primary Care, Inc · Los Banos, CA
Active · expires Nov 17, 2026
CLIA Number05D2200974
Laboratory TypePublic Health Laboratories
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorRaminder Mand
Laboratory Phone(209) 500-4500
Laboratory LocationLos Banos Primary Care, Inc1120 West I Street Suite B, Los Banos, CA 93635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Los Banos Primary Care, Inc's NPI number?

The NPI number for Los Banos Primary Care, Inc is 1851952113. It was assigned to this organization in the NPPES registry on June 26, 2019.

Where is Los Banos Primary Care, Inc located?

Los Banos Primary Care, Inc is located at 1120 W I St Ste B, Los Banos, CA 93635. The listed phone number is (209) 777-3500.

What is Los Banos Primary Care, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Los Banos Primary Care, Inc enrolled in Medicare?

Yes. Los Banos Primary Care, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Los Banos Primary Care, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Los Banos Primary Care, Inc, in Nephrology, Nurse Practitioner and Pediatric Medicine. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Los Banos Primary Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2200974) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Los Banos Primary Care, Inc was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.