Benjamin Medical Clinic

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BENJAMIN MEDICAL CLINIC

Practice address

1450 E 17TH St
Santa Ana, CA 92705-8510

Phone

(714) 543-4500

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Randall

Title

Office Manager

Phone

(714) 565-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1306039672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51081",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515381",
            "telephone_number": "818-700-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058510",
            "telephone_number": "714-543-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-565-1000"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaeley Benedict
• Benevolence Industries Incorporated
• Dolores Mary Benison-Glover, LVN
• Cecilia Benitez
• Veronica Benitez, PH.D.
• Diane Benjamin
• Alan Charles Bennett, M.A.
• Deborah Bennett, PHN
• Niki Dean Bennett
• Rachel Bennett

• Physical Therapy Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.