Active NPI
Christopher H Benbow, MD
- Psychiatry Physician
- La Jolla, CA
National Provider Identifier
1205924503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A48016
- Practice address
- 9850 Genesee Ave
Ste 910
La Jolla, CA 92037 - Phone
- (858) 622-0590
- Fax
- (858) 558-0250
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A48016 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Ste 910
La Jolla, CA 92037
Mailing address
9850 Genesee Ave
Ste 910
La Jolla, CA 92037
Phone (858) 622-0590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A48016 | Other | CA | BLUE SHIELD OF CA |
| 060132 | Other | CA | MHN |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000633 | CA | Practitioner - Psychiatry | 8820257611 | Practice locations: La Jolla, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48016 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Jeffrey P Thomas, Licensed Clinical Social Worker, Inc. | Past | Accepting new patients | |
| Robert I Fox, MD, Inc. | Past | Accepting new patients |
Interoperability endpoints
- cbenbow25795@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Community/Behavioral Health Agency
- La Jolla, CA
- NPI 1275800955
-
- Internal Medicine Physician
- La Jolla, CA
- NPI 1073687620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205924503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "STE 910",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-622-0590",
"fax_number": "858-558-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "STE 910",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-622-0590",
"fax_number": "858-558-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENBOW",
"first_name": "CHRISTOPHER",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A48016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00A48016",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "060132",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.