Compcare Medical Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPCARE MEDICAL INC.

Practice address

15944 Los Serranos Country Club Dr
Suite 110
Chino Hills, CA 91709-4523

Phone

(909) 606-8767

Fax

(909) 597-8681

NPI assigned

Feb 3, 2010

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alphonso Benton, M.D.

Title

President

Phone

(909) 606-8767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1669704482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR",
            "address_2": "SUITE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094523",
            "telephone_number": "909-606-8767",
            "fax_number": "909-597-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR",
            "address_2": "SUITE 110",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094523",
            "telephone_number": "909-606-8767",
            "fax_number": "909-597-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPCARE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-606-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kyu Chung, PHARM D
• Ping-Lin Ben Chung, D.D.S., D.M.SC.
• Jennifer Clarke, DDS
• Clinical Mobile Care
• Lindsey Marie Collins
• Krista Marie Consiglio-Lahti, PT
• Daniel Contreras, PMHNP
• Pamela Gaye Corbin, LVN
• Nicolas Corrales
• Elizabeth Cortez

• Family Medicine Physician in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.