Individual provider Active NPI

Benigno Quirarte, M.S.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1003945809
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFC44413 Issued in CA
Practice address
9265 Sky Park CT Ste 100
San Diego, CA 92123-4375
Phone
(844) 737-3638
Fax
(619) 403-9496
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFC44413 CA Primary

Addresses

Primary practice location

9265 Sky Park CT Ste 100
San Diego, CA 92123-4375

Mailing address

97 Timbre
Rancho Santa Margarita, CA 92688-2036
Phone (949) 468-9122

Other practice location 1

23461 S Pointe Dr
Suite 220
Laguna Hills, CA 92653-1547
Phone (949) 330-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240618003932 CA Practitioner - Marriage and Family Therapist 5698218675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene HealthGroup PAC ID 0244652139, 23 clinicians

Practice addresses (Care Compare)

9265 Sky Park CT
Suite 100
San Diego, CA 92123-4375
Phone (619) 329-4483

9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000

9400 Rosecrans Ave
Bellflower, CA 90706-2246
Phone (562) 461-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFC44413CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Health CurrentSince Jun 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 6, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince May 6, 2024 Accepting new patients
Serene Health Ipa CurrentSince Jun 1, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4849 Ronson Ct
Ste 207
San Diego, CA 92111
Phone (619) 329-4483

9265 Sky Park Ct
Ste 100
San Diego, CA 92123
Phone (619) 329-4483

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1003945809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 TIMBRE",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882036",
            "telephone_number": "949-468-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 SKY PARK CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234375",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23461 S Pointe Dr",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531547",
            "country_code": "US",
            "telephone_number": "949-330-1672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIRARTE",
        "first_name": "BENIGNO",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFC44413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.