NPIMap

Organization Active NPI

Benevolence Industries Incorporated

  • Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1104673508
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BENEVOLENCE INDUSTRIES INCORPORATED
Practice address
2621 S Bristol St Ste 109
Santa Ana, CA 92704-5718
Phone
(323) 732-0100
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BENEVOLENCE INDUSTRIES INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Godfred Danquah
Title
Compliance
Phone
(323) 732-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2621 S Bristol St Ste 109
Santa Ana, CA 92704-5718

Mailing address

1010 Crenshaw Blvd Ste 100
Torrance, CA 90501-2055
Phone (323) 732-0100

National Provider Directory

National Provider Directory
Tax ID family
Benevolence Industries13 organizations share this tax ID, including this one
Part of
Benevolence Industries

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2621 S Bristol St
Ste 109
Santa Ana, CA 92704
Phone (714) 754-0310

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1104673508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CRENSHAW BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012055",
            "telephone_number": "323-732-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "323-732-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENCE INDUSTRIES INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEVOLENCE INDUSTRIES INCORPORATED",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "DANQUAH",
        "authorized_official_first_name": "GODFRED",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "323-732-0100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.