IndividualActive
Michelle Banta, M.D.
NPI 1588740138 · Psychiatry Physician · San Diego, CA
Michelle Banta, M.D. is a Psychiatry Physician provider in San Diego, CA (NPI 1588740138).
Provider details
- NPI number
- 1588740138
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- G48751 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4060 Fourth Ave
Suite 330
San Diego, CA 92103-2116
Phone: (619) 291-2274
Fax: (619) 291-2274
Street-level locationGet directions
Mailing address
4060 Fourth Ave
San Diego, CA 92103-2116
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2008-02-25
Frequently asked questions
- What is Michelle Banta's NPI number?
- Michelle Banta's National Provider Identifier (NPI) is 1588740138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Banta's specialty?
- Michelle Banta is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Michelle Banta located?
- Michelle Banta's practice location on file with NPPES is 4060 Fourth Ave, San Diego, CA 92103-2116.
- What is Michelle Banta's phone number?
- The practice phone number listed in the NPPES registry for Michelle Banta is (619) 291-2274.
- Is Michelle Banta's NPI active?
- Yes — Michelle Banta's NPI (1588740138) is active in the NPPES registry as of the last update on 2008-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.