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PRAJNA BANAN
NPI 1952902272
Dentist - Prosthodontics in Los Angeles, CA

Active since November 03, 2020PECOS Enrolled
10833 LE CONTE AVE RM A0-156A, LOS ANGELES, CA 90095(310) 825-6510 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prajna Banan NPPES

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

PRAJNA BANAN (NPI 1952902272) is an individual prosthodontics provider in Los Angeles, California, licensed in California (DDS102179) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952902272
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NamePRAJNA BANAN
Location Address10833 LE CONTE AVE RM A0-156ALos Angeles, CA 90095-3075
Mailing Address11411 Ohio Ave Apt 1Los Angeles, CA 90025-3120 · (832) 907-0661
Phone(310) 825-6510
Sole ProprietorYes
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1952902272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · DDS102179
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
10833 LE CONTE AVE RM A0-156A, Los Angeles, CA 90095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prajna Banan 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 90095 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Prajna Banan's NPI number?

The NPI number for Prajna Banan is 1952902272. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Prajna Banan located?

Prajna Banan practices at 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095. The listed phone number is (310) 825-6510.

What is Prajna Banan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Prajna Banan enrolled in Medicare?

Yes. Prajna Banan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prajna Banan was last updated on November 3, 2020. 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.