Jimi O. Benson MD., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A116611 Issued in CA

Legal business name

JIMI O. BENSON MD., INC

Practice address

1351 Broadway
El Cajon, CA 92021-5811

Phone

(619) 383-6703

Fax

(866) 473-3324

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jimi Ola Benson, M.D.NPI 1477751667

Title

President

Phone

(301) 466-1078

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Broadway medical clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimi O. Benson, M.D.

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1477751667
  Medicare reassignment Authorized official
• Louella Mesina, NP

  • Family Medicine Physician
  • El Cajon, CA
  • NPI 1457094401
  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1275936270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "866-473-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "866-473-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMI O. BENSON MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JIMI",
        "authorized_official_middle_name": "OLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-466-1078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477751667",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275936270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miad Jibro
• Alma Angelina Jimenez, RN
• Cesar Jimenez, DDS
• Daisy Jimenez
• Esmeralda Jimenez
• Abbeygail Jiongco, FNP
• Allen J Job, DDS
• Joel'S Massage & Holistic Center
• John B James,MD,Apc
• John Carlos Thompson MD a Professional Corporation

• Internal Medicine Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.