Active NPI
Benton Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- Mountain View, CA
National Provider Identifier
1669680856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- HMDRL 44407
- Legal business name
- BENTON MEDICAL EQUIPMENT, INC.
- Practice address
- 2601 Garcia Ave
Mountain View, CA 94043-1111 - Phone
- (650) 625-1000
- Fax
- (650) 625-1133
- NPI assigned
- May 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Benton Jr.
- Title
- President,Ceo
- Phone
- (650) 625-1000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | HMDRL 44407 | CA | Primary |
| Customized Equipment (DME) | 332BC3200X | HMDRL 44407 | CA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | HMDRL 44407 | CA | |
| Prosthetic/Orthotic Supplier | 335E00000X | HMDRL 44407 | CA |
Addresses
Primary practice location
2601 Garcia Ave
Mountain View, CA 94043-1111
Mailing address
1145 Terra Bella Ave
Suite B
Mountain View, CA 94043-1831
Phone (650) 625-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ428502 | Other | CA | BLUESHIELD |
| VENXXXN050892 | Other | CA | AETNA |
National Provider Directory
National Provider DirectoryLocations
1145 Terra Bella Ave
#B
Mountain View, CA 94043
2601 Garcia Ave
Mountain View, CA 94043
Phone (650) 625-1000
1145B Terra Bella Ave
Mountain View, CA 94043
Phone (650) 625-1000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Mountain View, CA
- NPI 1295924645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338768000000",
"number": "1669680856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 TERRA BELLA AVE",
"address_2": "SUITE B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431831",
"telephone_number": "650-625-1000",
"fax_number": "650-625-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 GARCIA AVE",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431111",
"telephone_number": "650-625-1000",
"fax_number": "650-625-1133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENTON MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-19",
"last_updated": "2012-06-04",
"status": "A",
"authorized_official_last_name": "BENTON",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PRESIDENT,CEO",
"authorized_official_telephone_number": "650-625-1000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "HMDRL 44407",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "HMDRL 44407",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "HMDRL 44407",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "CA",
"license": "HMDRL 44407",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "ZZZ428502",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "VENXXXN050892",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.