Active NPI
Benjamin Eric Grounds
- Obstetrics & Gynecology Physician
- Twentynine Palms, CA
National Provider Identifier
1104247444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101259691
- Practice address
- 1145 Sturgis Road
Twentynine Palms, CA 92278-8275 - Phone
- (760) 830-2117
- NPI assigned
- Jan 3, 2014
- Last updated
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 0101259691 | VA | Primary |
Addresses
Primary practice location
1145 Sturgis Road
Twentynine Palms, CA 92278-8275
Mailing address
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone (760) 830-2117
Other practice location 1
620 John Paul Jones Cir
Naval medical Center Portsmouth
Portsmouth, VA 23708-2197
Phone (757) 953-0669
Other practice location 2
1 Administration Cir
Ridgecrest, CA 93555-6104
Phone (760) 939-8030
Other practice location 3
1145 Sturgis Road
Bridgeport, CA 93517-9802
Phone (760) 932-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259691 | VA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1104247444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "760-830-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922788275",
"telephone_number": "760-830-2117"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_2": "Naval medical Center Portsmouth",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082197",
"country_code": "US",
"telephone_number": "757-953-0669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Administration Cir",
"address_purpose": "LOCATION",
"city": "Ridgecrest",
"state": "CA",
"postal_code": "935556104",
"country_code": "US",
"telephone_number": "760-939-8030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1145 Sturgis Road",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CA",
"postal_code": "935179802",
"country_code": "US",
"telephone_number": "760-932-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROUNDS",
"first_name": "BENJAMIN",
"middle_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2022-07-20",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101259691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.