Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427440791 Individual Practitioner Male Practitioner

Dr. Jonathan Christopher Banta , MD

Dermatology • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Banta, MD is a registered healthcare professional specializing in Dermatology in Travis Afb, CA. Practice services are available at 60 MDG/SGGX under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

60 Mdg/sggx
101 Bodin Cir

Travis Afb, CA 945351809

Telephone 7074235105

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Travis Afb, CA (2182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-12
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CA C203377

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1457713471

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location August 14, 2025

Registered at 60 MDG/SGGX, 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074235105)

📍
Updated Business Mailing Address August 14, 2025

Registered at 60 MDG/SGGX, 101 BODIN CIR, TRAVIS AFB, CA 945351809

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2025

Dermatology (License #C203377 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2025

Preventive Medicine (License #30743 in NE)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2025

General Practice (License #30743 in NE)

📍
Updated Practice Location September 15, 2022

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

📍
Updated Practice Location March 08, 2022

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

📍
Updated Business Mailing Address March 08, 2022

Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102925350)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2022

Preventive Medicine (License #24621 in MS)

📍
Updated Practice Location April 23, 2018

Registered at 8 MDG, UNIT 2022, APO, AP 962642022 (Tel: 3157824913)

📍
Updated Business Mailing Address April 23, 2018

Registered at PSC 2 BOX 2771, APO, AP 962642022 (Tel: 3157824913)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2018

Preventive Medicine (License #30743 in NE)

NPI Profile Active October 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2016

Registered at 201 INDEPENDENCE DR., COLUMBUS AFB, MS 397105300 (Tel: 6624342273)

📍
Updated Business Mailing Address October 20, 2016

Registered at 201 INDEPENDENCE DR., COLUMBUS AFB, MS 397105300 (Tel: 6624342273)

👤
Provider Name / Credentials Updated October 20, 2016

Recorded as JONATHAN BANTA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2016

Preventive Medicine (License #24621 in MS)

🟢
Initial NPI Registration & Enumeration February 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427440791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2015
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

60 Mdg/sggx, 101 Bodin Cir

Travis Afb, CA 945351809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.