Shyama Catherine Benton, CCMA
Individual provider Active NPI Technician · Santa Cruz, CA
NPI 1285124248 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1285124248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 200 7TH Ave Ste 150
Santa Cruz, CA 95062-4669 - Phone
- (831) 462-1060
- Fax
- (831) 462-4970
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
200 7TH Ave Ste 150
Santa Cruz, CA 95062-4669
Mailing address
200 7TH Ave Ste 150
Santa Cruz, CA 95062-4669
Phone (831) 462-1060
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.