Active NPI
Malka Benoni, MD
- Gynecology Physician
- San Diego, CA
National Provider Identifier
1306891171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A35765
- Practice address
- 3023 Bunker Hill St
Suite #203
San Diego, CA 92109 - Phone
- (858) 581-2225
- Fax
- (858) 581-3870
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A35765 | CA | Primary |
Addresses
Primary practice location
3023 Bunker Hill St
Suite #203
San Diego, CA 92109
Mailing address
3023 Bunker Hill St
Suite #203
San Diego, CA 92109
Phone (858) 581-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35765 | CA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1306891171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 BUNKER HILL ST",
"address_2": "SUITE #203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92109",
"telephone_number": "858-581-2225",
"fax_number": "858-581-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 BUNKER HILL ST",
"address_2": "SUITE #203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92109",
"telephone_number": "858-581-2225",
"fax_number": "858-581-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENONI",
"first_name": "MALKA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A35765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.