Jay Kenneth Benard, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2434 Issued in CA

Practice address

1580 Valencia St
Suite #804
San Francisco, CA 94110-4412

Phone

(415) 392-5626

Fax

(415) 392-5632

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1154495083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE #804",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104412",
            "telephone_number": "415-392-5626",
            "fax_number": "415-392-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE #804",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104412",
            "telephone_number": "415-392-5626",
            "fax_number": "415-392-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENARD",
        "first_name": "JAY",
        "middle_name": "KENNETH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Belzer, M.D.
• Nina Michelle Bemben, PHARM.D.
• Bembi Medical Corporation
• Rania Ben Salha
• Charbel Ann Benard
• Robert Adam Benard, NP
• Ryan Kenneth Valero Benavente
• Marisol Benavides
• Meriane Benavides
• Roxana Benavides

• Foot & Ankle Surgery Podiatrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.