Benjamin Pessah

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4893810001 Issued in CA

Legal business name

BENJAMIN PESSAH

Practice address

1729 Palm Ave
San Diego, CA 92154-1150

Phone

(619) 575-1020

Fax

(619) 343-3449

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Pessah, D.P.M.

Title

Supplier

Phone

(619) 575-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1104019843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541150",
            "telephone_number": "619-575-1020",
            "fax_number": "619-434-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541150",
            "telephone_number": "619-575-1020",
            "fax_number": "619-343-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN PESSAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "PESSAH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "SUPPLIER",
        "authorized_official_telephone_number": "619-575-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "4893810001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME MEDICARE",
            "identifier": "4893810001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiyana Nicole Benitez, LCSW
• Randy Benito
• Benjamin Alpert, PSYD, a Psychological Corporation
• Brittany Rose Benjamin Amante, LMFT
• Benjamin J. Lin DDS Inc.
• Alicia Collins Benjamin, M.D.
• Corey Antonio Benjamin, MD
• Laurel R Benjamin
• Riley Benjamin
• Stephanie Brooke Benjamin

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.