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DR. DANTE ATIENZA BANTA MD
NPI 1912071085
Family Medicine in Los Angeles, CA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
875 N WESTERN AVE, LOS ANGELES, CA 90029(323) 258-7568(323) 258-7498 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dante Atienza Banta Md NPPES

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

DR. DANTE ATIENZA BANTA MD (NPI 1912071085) is an individual family medicine provider in Los Angeles, California, licensed in California (00A440791) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1912071085
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANTE ATIENZA BANTACredential: MD
Location Address875 N WESTERN AVELos Angeles, CA 90029-3759
Mailing Address875 N Western AveLos Angeles, CA 90029-3759 · (323) 258-7568 · Fax (323) 258-7498
Phone(323) 258-7568
Fax(323) 258-7498
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 2, 2011
✔ NPI 1912071085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 00A440791
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
875 N WESTERN AVE, Los Angeles, CA 90029
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Other Identifiers 4

Other00A440791CA · Blue Cross Blue Shield
Medicare UPINF51340
Medicare ID-Type Unspecified00A440791CA
Medicaid00A440791CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dante Atienza Banta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749351377
PECOS Enrollment IDI20080625000204
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims36 services$5.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DANTE A. BANTA, M.D., INC.
Clinic/Center (Primary Care)
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 461-0777
DR. VERONICA M BANTA MD
Family Medicine
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 461-0777
GONZALO CORZO, D.D.S. A PROFESSIONAL CORPORATION
Dentist (General Practice)
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 798-5427
DR. FREDIA ISIS CADAVID DDS
Dentist
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (562) 572-8261
ARTURO V. HERNANDEZ, D.D.S.
Point of Service
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 469-5700
FREDIA ISIS CADAVID
Dentist
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (562) 572-8261
VERONICA MORALES BANTA M.D., INC.
Clinic/Center
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 461-0777
WARREN BANTA MD, A MEDICAL CORPORATION
Clinic/Center
875 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 461-0777

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 Dante Banta's NPI number?

The NPI number for Dante Banta is 1912071085. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Dante Banta located?

Dante Banta practices at 875 N Western Ave, Los Angeles, CA 90029. The listed phone number is (323) 258-7568.

What is Dante Banta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dante Banta enrolled in Medicare?

Yes. Dante Banta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dante Banta was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.