DR. EDGAR CORRALES BANEZ M.D. NPI 1275644098

NPI Information

  • NPI: 1275644098
  • Provider Name: DR. EDGAR CORRALES BANEZ, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4867 EAGLE ROCK BLVD
    STE.#1
    LOS ANGELES, CA
    ZIP 90041
  • Phone: (323) 254-6754

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NPI Details

DR. Edgar Corrales Banez, M.D. is a family medicine in Los Angeles, CA. The provider is 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. DR. Edgar Corrales Banez, M.D. NPI is 1275644098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4867 EAGLE ROCK BLVD
STE.#1
LOS ANGELES, CA
ZIP 90041-657
Phone: (323) 254-6754
Fax: (323) 257-5949

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA52430CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F76459MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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