Michael Thomas Benavidez

Primary specialty

Health Information TechnicianTaxonomy code 247000000X

Practice address

7575 Red Bud Rd
Granite Bay, CA 95746-9511

Phone

(916) 708-7290

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1053579516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 RED BUD RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469511",
            "telephone_number": "916-708-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 RED BUD RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469511",
            "telephone_number": "916-708-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bashe
• Austin Bauldry, DDS, MSD
• Kelly Beckham, RN
• Amy Beeler
• Emily Belgarde
• Diane Bernino
• Julia Margaret Black, MFCC 42256 CALIF
• Blain Jacobson, DMD, a Professional Dental Corporation
• Sade Blake
• Sky Marie Blake

• Health Information Technician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Health Information Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.