Darlene Bennett, CPTI

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

00009782 Issued in CA

Practice address

8450 Carob St
Fontana, CA 92335-1221

Phone

(310) 922-3596

NPI assigned

May 31, 2020

Last updated

May 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mobile Phlebotomy Professionals Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobie Phlebotomy Professionals LLC

  • Phlebotomy Technician
  • Fontana, CA
  • NPI 1043824006
  NPD Authorized official

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

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590883200000",
    "number": "1467076067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 CAROB ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351221",
            "telephone_number": "310-922-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 CAROB ST",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351221",
            "telephone_number": "310-922-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "CPTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-31",
        "last_updated": "2020-05-31",
        "certification_date": "2020-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "00009782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPT1",
            "identifier": "00009782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOBILE",
            "last_name": "PROFESSIONALS",
            "middle_name": "PHLEBOTOMY",
            "credential": "BA/ CPTI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Atul Bembi, D.O.
• Celina Concepcion Benavides, LPT
• Anthony Benigno, PSY.D.
• Patricia Benitez, RN
• Pearl Marie Benitez
• David Bennit, PA
• Braddon Charles Benson, OTR/L
• Matthew Berg, R.D.
• Matthew Allan Bergendahl Jr.
• Brent Luke Berger, M.D.

• Phlebotomy Technician in Fontana, CA
• Providers in Fontana, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2020; 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.