Dermatology
Dr. JONATHAN BANTA M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1427440791 · enumerated 2015-02-24 · record updated 2025-08-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 60 MDG/SGGX, 101 BODIN CIR, TRAVIS AFB, CA, 94535-1809 (707) 423-5105 Google Maps Apple Maps OpenStreetMap
- Mailing address 60 MDG/SGGX, 101 BODIN CIR, TRAVIS AFB, CA, 94535-1809 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License C203377 CA
In this directory
Locations and evidence
-
Practice location
TRAVIS AFB, CA, 945351809
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.