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

Justin Lee Banaga

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306208590

Justin Lee Banaga is a Diagnostic Radiology in San Francisco, California. Graduated from University of California, San Francisco School of Medicine in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1001 Potrero Ave Bldg 5 1ST Fl
San Francisco, CA 94110
Phone: (628) 206-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 751 S Bascom Ave, San Jose, CA 95128-2604 — (408) 885-5110

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A152793 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306208590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESNovember 16, 2023
Certification dateNovember 14, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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