Rayna Benson, LAC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AC 16686 Issued in CA

Practice address

4406 Park Blvd
San Diego, CA 92116-4047

Phone

(619) 726-8962

NPI assigned

May 26, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1548618994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6974 SUN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164047",
            "telephone_number": "619-726-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RAYNA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AC 16686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Benson
• Katherine Kiyomi Benson, MD
• Kimberly Meredith Benson, OTR
• Luana Lynn Benson, LVN
• Marvin L. Benson, M.D.
• Benjamin Bensoul, M.D.
• Lindsay L Benster
• Suzanne Bent, DO
• Yvonne Bentle, MFT
• Ellery Bentley

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.