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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTA G BANNISTER, CHT

Active Sole Proprietor

ROBERTA G BANNISTER, CHT is a 374K00000X healthcare provider located in CRESTLINE, California. NPI 1417814245 is currently active in the NPPES registry. Verify at CMS.

374K00000X · CRESTLINE, CA

Registration Details

NPI Number
1417814245
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2026 (0.41856904731811 yrs)
Last Updated
Jan 5, 2026
Sole Proprietor
Yes

Practice Information

Address
23394 KNAPPS CUTOFF # 4387
CRESTLINE, CA, 923259427
Browse CA providers · Browse ZIP 92325
Phone
8402101763
Primary Specialty
374K00000X
374K00000X
Additional Specialty
101200000X
Additional Specialty
Private Vehicle
Additional Specialty
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.