Jeffrey Sam Benon, CATC 102373

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CATC 102373 Issued in CA

Practice address

26861 Trabuco Rd
Suite E-203
Mission Viejo, CA 92691-3537

Phone

(949) 230-2747

Fax

(949) 680-2906

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey Sam Benon Professional name

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1669777819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26861 TRABUCO RD",
            "address_2": "SUITE E-203",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913537",
            "telephone_number": "949-230-2747",
            "fax_number": "949-680-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26861 TRABUCO RD",
            "address_2": "SUITE E-203",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913537",
            "telephone_number": "949-230-2747",
            "fax_number": "949-680-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENON",
        "first_name": "JEFFREY",
        "middle_name": "SAM",
        "credential": "CATC 102373",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CATC 102373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "BENON",
            "middle_name": "SAM",
            "credential": "CAC1 CA-79834",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robyn Belz, M.A., CCC-SLP
• Ben McGrath, DPM (Alto Foot and Ankle)
• Richard Alan Bender, M.D.
• Theodore Val Benderev, M.D.
• Eric Olson Benner, M.D.
• Jerry Francisco Benzl, M.D.
• Jerry S Benzl, MD
• Karla Benzl, MD
• Juliana Marie Beran, RN
• Jason Berg, PHARM.D.

• Addiction (Substance Use Disorder) Counselor in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.