NPIMap

Individual provider Active NPI

Jimi O. Benson, M.D.

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1477751667
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116611 Issued in CA
Practice address
1351 Broadway
El Cajon, CA 92021-5811
Phone
(619) 383-6703
Fax
(866) 473-3324
NPI assigned
Jul 10, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A1166AA CA
Internal Medicine Physician 207R00000X A116611 CA Primary

Addresses

Primary practice location

1351 Broadway
El Cajon, CA 92021-5811

Mailing address

1351 Broadway
El Cajon, CA 92021-5811
Phone (619) 383-6703

Other practice location 1

28999 Old Town Front St
Temecula, CA 92590-5805
Phone (760) 332-1468

Other identifiers 3

IdentifierTypeStateIssuer
1477751667MedicaidCA
1275936270MedicaidCA
FN314ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000256 CA Practitioner - Internal Medicine 7315111408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1351 Broadway
El Cajon, CA 92021-5811
Phone (619) 383-6703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A116611CAMDInternal Medicine Physician
A1166AACAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Datnguyen MD Inc Internal Medicine CurrentSince Jan 25, 2019 Accepting new patients
Broadway Medical Transport Current Accepting new patients
Scripps Health Current Accepting new patients
Massanu Sirleaf Inc. CurrentSince Nov 10, 2018 Accepting new patients
Caring Hearts Medical Foundation and Health Services Inc PastSince Oct 24, 2011 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

1351 Broadway
El Cajon, CA 92021
Phone (619) 383-6703

5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jbenson250384@scrippshlth.medalliesdirect.net
  • Direct secure messaging: pvh-jbenson@primehealthcare.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rockport Healthcare ServicesEl Cajon, CA, CCN 555878 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1477751667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "619-567-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215811",
            "telephone_number": "619-383-6703",
            "fax_number": "866-473-3324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28999 Old Town Front St",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905805",
            "country_code": "US",
            "telephone_number": "760-332-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JIMI",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A1166AA",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477751667",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275936270",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FN314Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.