Benjamin P. Llanes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8782T Issued in CA

Practice address

9580 Black Mountain Rd
Suite J
San Diego, CA 92126-4522

Phone

(858) 536-8952

Fax

(858) 536-8951

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053309005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 BLACK MOUNTAIN RD",
            "address_2": "SUITE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264522",
            "telephone_number": "858-536-8952",
            "fax_number": "858-536-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 BLACK MOUNTAIN RD",
            "address_2": "SUITE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264522",
            "telephone_number": "858-536-8952",
            "fax_number": "858-536-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANES",
        "first_name": "BENJAMIN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8782T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Llamas
• Sasha Giselle Llamas, SOCIAL WORK INTERN
• Anabelle Manglona Llana, BSW
• Samantha Llanas-Medina
• Alexxis Llanes
• Trisha Rimando Llanes, BSN, RN
• Yasmin Llano, MFT TRAINEE
• Llantada Chiropractic a Professional Corporation
• Rumel Mendoza Llantada, D.C.
• Rosita B Llerena

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.