Charles Henry Benafield, RN, PHN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

821565 Issued in CA

Practice address

4738 Grouse Run Dr
Stockton, CA 95207-5361

Phone

(209) 675-1472

NPI assigned

Sep 24, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1760733273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 GROUSE RUN DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075361",
            "telephone_number": "209-675-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4738 GROUSE RUN DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075361",
            "telephone_number": "209-675-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAFIELD",
        "first_name": "CHARLES",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "RN, PHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "821565",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "821565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Belson
• Alyssa Beltran
• Laura Beltran
• Keagan Belyk
• Albina Gonzalez Benabaye, M.D.
• Olivia Rose Benavidez
• Chris Bender
• Kendra Benedict
• John Benevento
• Nicole Beni

• Psychiatric/Mental Health Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.