Individual provider Active NPI

Jennifer Harvey Benson, R.D.

  • Registered Dietitian
  • Thousand Oaks, CA
National Provider Identifier
1174542237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
833239 Issued in CA
Practice address
329 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone
(805) 338-1445
Fax
(805) 277-4756
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 833239 CA Primary

Addresses

Primary practice location

329 S Moorpark Rd
Thousand Oaks, CA 91361-1008

Mailing address

324 Ridgemont CT
Newbury Park, CA 91320-4837
Phone (805) 338-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820001203 CA Practitioner - Registered Dietitian Or Nutrition Professional 2567666860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Nutrition Consulting LLCGroup PAC ID 8921347600, 8 clinicians

Practice addresses (Care Compare)

400 Mobil Ave
Suite D9
Camarillo, CA 93010-6376
Phone (805) 738-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
833239CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
360 Nutrition Consulting Inc Dietitian, Registered CurrentSince Aug 5, 2020 Accepting new patients

Locations

400 Mobil Ave
Camarillo, CA 93010
Phone (323) 240-1257

400 Mobil Ave
Ste D9
Camarillo, CA 93010
Phone (805) 388-3337

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174542237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 RIDGEMONT CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204837",
            "telephone_number": "805-338-1445",
            "fax_number": "805-277-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-338-1445",
            "fax_number": "805-277-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JENNIFER",
        "middle_name": "HARVEY",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "833239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.