Benson Family Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4564 Issued in CA

Legal business name

BENSON FAMILY MEDICAL GROUP INC

Practice address

41555 Cook St
Ste 130
Palm Desert, CA 92211

Phone

(760) 340-2682

Fax

(760) 773-9695

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Aurora L Benson, DO

Title

President

Phone

(760) 340-2682

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174577613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41555 COOK ST",
            "address_2": "STE 130",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-340-2682",
            "fax_number": "760-773-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41555 COOK ST",
            "address_2": "STE 130",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92211",
            "telephone_number": "760-340-2682",
            "fax_number": "760-773-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON FAMILY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "AURORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-340-2682",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4564",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0069290",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX45640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX53610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kevin Belville, MD
• Sandra Ann Bender, M.D.
• Beneficial CDC
• Hany Samuel Benjamin, PHARMACIST
• Debra Bennett, PMHNP
• Aurora L Benson, D.O.
• Mark Benson, D.O.
• Eola Anne Bentley-Force, FNP
• Carolyn Izu Bergmann, D.M.D
• Rainer H. Bergmann, DMD

• Family Medicine Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.