Organization Active NPI

David Benvenuti, M.D. F.a.C.S.

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1295067494
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G34385 Issued in CA
Legal business name
DAVID BENVENUTI, M.D. F.A.C.S.
Practice address
355 Placentia Ave
#104
Newport Beach, CA 92663-3311
Phone
(949) 650-2345
Fax
(949) 650-6817
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. David Benvenuti, M.D.
Title
Owner
Phone
(949) 650-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G34385 CA Primary

Addresses

Primary practice location

355 Placentia Ave
#104
Newport Beach, CA 92663-3311

Mailing address

355 Placentia Ave
#104
Newport Beach, CA 92663-3311
Phone (949) 650-2345

National Provider Directory

National Provider Directory

Locations

355 Placentia Ave
Ste 104
Newport Beach, CA 92663
Phone (949) 650-2345

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1295067494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "#104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-650-2345",
            "fax_number": "949-650-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE",
            "address_2": "#104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633311",
            "telephone_number": "949-650-2345",
            "fax_number": "949-650-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BENVENUTI, M.D. F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "BENVENUTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-650-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G34385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.