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Deactivated NPI 1134397292 Deactivated / Inactive NPI Male Practitioner

Gregory R. Banting , CPED

Specialist • Walnut Creek, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gregory Banting has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2008
NPI Deactivation Date November 11, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Gregory Banting, CPED was a registered Specialist practicing in Walnut Creek, CA. Throughout an active medical career spanning 15 years, Gregory Banting provided care at the practice location at 2950 BUSKIRK AVE. until profile deactivation on 2023-11-11.

Practice Location & Contact Primary Location

Practice Address

2950 Buskirk Ave.
Suite 300

Walnut Creek, CA 945976900

Telephone 9253051855
Fax 9257558601
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Walnut Creek, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.3 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Walnut Creek, CA (6446 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA CPED0350

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active April 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location April 25, 2012

Registered at 2950 BUSKIRK AVE., SUITE 300, WALNUT CREEK, CA 945976900 (Tel: 9253051855)

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Updated Business Mailing Address April 25, 2012

Registered at 1504 A STREET, ANTIOCH, CA 945092333 (Tel: 9253051855)

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Provider Name / Credentials Updated April 25, 2012

Recorded as GREGORY BANTING, C.PED.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2012

Specialist (License #CPED0350 in CA)

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Initial NPI Registration & Enumeration February 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134397292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2008
Last Update: April 25, 2012
Deactivation Date: November 11, 2023

Mailing Address

1504 A Street

Antioch, CA 945092333

Phone: 9253051855

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

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