Active NPI
Benigno Canceko, MD
- Specialist
- Palm Springs, CA
National Provider Identifier
1831136290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A33012
- Practice address
- 1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872 - Phone
- (760) 323-6511
- Fax
- (530) 243-0445
- NPI assigned
- Jun 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A33012 | CA | Primary |
Addresses
Primary practice location
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Mailing address
PO Box 492680
Redding, CA 96049-2680
Phone (530) 243-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A330120 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33012 | CA | MD | General Practice Dentistry |
| A33012 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Anestheisa Medical Group | Specialist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Palm Springs, CA
- NPI 1861448938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831136290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492680",
"city": "REDDING",
"state": "CA",
"postal_code": "960492680",
"telephone_number": "530-243-0440",
"fax_number": "530-243-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624872",
"telephone_number": "760-323-6511",
"fax_number": "530-243-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANCEKO",
"first_name": "BENIGNO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A33012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A330120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.