Kimberly Benton, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A166427 Issued in CA

Practice address

95 3Rd St FL 2
San Francisco, CA 94103-3103

Phone

(415) 416-2629

Fax

(833) 471-4002

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hi-Desert Memorial Health Care DistrictGroup PAC ID 1254240898, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbenton376296@hisp.ehr.sutterhealth.org
• Direct secure messaging: kimberly.benton.1@28091.direct.athenahealth.com

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.

• Hi -Desert Memorial Health Care District

  dba Morongo Basin Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
  • NPI 1841612082
  Medicare reassignment Care Compare group NPD
• Bay Psychiatric Associates

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1427163229
  Medicare reassignment NPD
• Hi-Desert Memorial Health Care District

  dba Morongo Basin Community Health Center-29

  • Federally Qualified Health Center (FQHC)
  • 29 Palms, CA
  • NPI 1053733527
  NPD
• Hi-Desert Memorial Health Care District

  dba Morongo Basin Community Health Center-BH

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
  • NPI 1649708611
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1275030066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 3RD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033103",
            "telephone_number": "415-416-2629",
            "fax_number": "833-471-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 3RD ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033103",
            "telephone_number": "415-416-2629",
            "fax_number": "833-471-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A166427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Wilson Bent, MD
• Carsen Bentley, D.D.S
• Jed Bentley
• Jennifer Bentley, PA-C
• Carrie Benton
• Raina Benton
• Eli Troi Benway
• Stephen Ray Benwell, PPCHW
• Christopher C. Benz, M.D.
• Stephen R Benzian, MD

• Psychiatry Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.
• 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.