Universite Du Benin Medical Group, Inc.,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A45536 Issued in CA

Legal business name

UNIVERSITE DU BENIN MEDICAL GROUP, INC.,

Practice address

650 Hobson Way # 204
Oxnard, CA 93030-6711

Phone

(805) 486-9100

Fax

(805) 486-7330

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kiansi Boni, MDNPI 1760514343

Title

Owner

Phone

(805) 486-9100

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• UNIVERSITE DU BENIN MEDICAL GROUP, INC. Doing business as

Locations

Practitioners 1

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

• Kiansi Boni, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oxnard, CA
  • NPI 1760514343
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1407988660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6299",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "805-486-9100",
            "fax_number": "805-486-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOBSON WAY # 204",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306711",
            "telephone_number": "805-486-9100",
            "fax_number": "805-486-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITE DU BENIN MEDICAL GROUP, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BONI",
        "authorized_official_first_name": "KIANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-486-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45536",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A45536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A455360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITE DU BENIN MEDICAL GROUP, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronda Brooke Uhles-Johnson, OTRL
• Patrick Um, MD
• Scott R Underwood, D.O.
• Shirley Liu Underwood, D.O.
• Universal Home Healthcare Services, Inc.
• Annette Viviana Unzueta
• Roxanne Upah-Crenshaw, PH.D.
• Angie Marie Urich, CMA
• Naomi Urquidez
• Rigoberto Urquijo, CATCIICA(CADC II-CA)

• Family Medicine Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.