| NPI | 1427101369 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-22 |
| Last Updated | 2014-04-02 |
| Authorized Official | Melinda Benavidez ADMINISTRATOR Phone: 9093738222 |
| Mailing Address | 984 W Foothill Blvd Upland, CA 91786-3700 United States Phone: (909) 373-8222 | Fax: (877) 803-0308 📍 View Map |
| Primary Practice Address | 984 W Foothill Blvd Upland, CA 91786-3700 United States Phone: (909) 373-8222 | Fax: (877) 803-0308 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 00AX63960 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | CA | 20A8664 |
| Yes | 207Q00000X – Family Medicine | CA | 20A6396 |
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About NPI 1427101369
Benacare Medical Center, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1427101369. The primary specialty listed is Family Medicine. The organization is located in Upland, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1427101369?
NPI 1427101369 belongs to Benacare Medical Center, Inc, a Family Medicine in Upland, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1427101369 active?
The current status of NPI 1427101369 in the NPPES registry is Active. The record was last updated on 2014-04-02.
What specialty is NPI 1427101369?
NPI 1427101369 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1427101369?
You can verify NPI 1427101369 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1427101369?
The primary practice address on file for NPI 1427101369 is 984 W Foothill Blvd, Upland, CA 91786-3700. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1427101369 issued?
NPI 1427101369 was first issued (enumerated) on 2007-01-22. The NPPES record was last updated on 2014-04-02.
Practice Location Map
Benacare Medical Center, Inc is located at 984 W Foothill Blvd, Upland, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Benacare Medical Center, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1427101369. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 20A8664 | CA |
| Family Medicine | 20A6396 | CA |