Dante A. Banta, M.D., Inc.
NPI 1215100417 · Primary Care Clinic/Center · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dante A. Banta, M.D., Inc. is a Primary Care Clinic/Center organization in Los Angeles, CA (NPI 1215100417).
Provider details
- NPI number
- 1215100417
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dante Banta, President(323) 461-0777
- License
- A44079 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Clinica Western
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2011-08-02
Frequently asked questions
- What is Dante A. Banta, M.D., Inc.'s NPI number?
- Dante A. Banta, M.D., Inc.'s National Provider Identifier (NPI) is 1215100417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dante A. Banta, M.D., Inc.?
- Dante A. Banta, M.D., Inc. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dante A. Banta, M.D., Inc. located?
- Dante A. Banta, M.D., Inc.'s practice location on file with NPPES is 875 N Western Ave, Los Angeles, CA 90029-3759.
- What is Dante A. Banta, M.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Dante A. Banta, M.D., Inc. is (323) 461-0777.
- Does Dante A. Banta, M.D., Inc. accept Medicare?
- Dante A. Banta, M.D., Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dante A. Banta, M.D., Inc.?
- The authorized official listed on Dante A. Banta, M.D., Inc.'s NPPES record is Dante Banta, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dante A. Banta, M.D., Inc.'s NPI active?
- Yes — Dante A. Banta, M.D., Inc.'s NPI (1215100417) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.