Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dante Atienza Banta, MD

Individual provider Family Medicine Physician · NPI 1912071085

Dr. Dante Atienza Banta, MD is registered under General Practice in Los Angeles, California. Qualified in 1974, 52 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
52
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

875 N Western Ave
Los Angeles, CA 90029-3759 Not confirmed with CMS for 15 years — call before visiting
Phone: (323) 258-7568
Fax: (323) 258-7498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 00A440791 (CA)

Record details

NPI number1912071085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESAugust 2, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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