Organization Active NPI

Benton Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, CA
National Provider Identifier
1669680856
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMDRL 44407 Issued in CA
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

Updated by the provider on Jun 4, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ428502OtherCABLUESHIELD
VENXXXN050892OtherCAAETNA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.