Active NPI
Benjamin Franco Suescun III
- Family Nurse Practitioner
- San Bernardino, CA
National Provider Identifier
1790222958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019206
- Practice address
- 1950 S Sunwest LN Ste 108
San Bernardino, CA 92408-3263 - Phone
- (909) 521-8818
- NPI assigned
- Jan 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95063960 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95019206 | CA | Primary |
Addresses
Primary practice location
1950 S Sunwest LN Ste 108
San Bernardino, CA 92408-3263
Mailing address
1950 S Sunwest LN Ste 108
San Bernardino, CA 92408-3263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95063960 | CA | MD | Registered Nurse |
| 95019206 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thinknetic Medical Corporation | Current | Accepting new patients |
Locations
1950 S Sunwest Ln
Ste 108
Sn Bernrdno, CA 92408
Phone (909) 521-8818
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Medicine Physician
- San Bernardino, CA
- NPI 1275186793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1790222958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 S SUNWEST LN STE 108",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 S SUNWEST LN STE 108",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083263",
"telephone_number": "909-521-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUESCUN",
"first_name": "BENJAMIN",
"middle_name": "FRANCO",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-26",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95063960",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.