Ripudaman S Beniwal MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A067409 Issued in CA

Legal business name

RIPUDAMAN S BENIWAL MD INC

Practice address

1144 Norman Dr
Suite 101
Manteca, CA 95336-5925

Phone

(209) 239-0515

Fax

(209) 239-0504

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Darline A Clevenger

Title

Biller

Phone

(209) 239-0515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ripudaman S Beniwal, MD

  • Gastroenterology Physician
  • Manteca, CA
  • NPI 1528039799
  Medicare reassignment

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1144488149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-239-0515",
            "fax_number": "209-239-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-239-0515",
            "fax_number": "209-239-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIPUDAMAN S BENIWAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "DARLINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "209-239-0515",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A067409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.