Hazel Anne Perilla Benavides

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

74261 Issued in CA

Practice address

8215 Jade Coast Rd.
Unit # 84
San Diego, CA 92126-6462

Phone

(858) 610-5967

NPI assigned

Oct 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Hazel Anne Sanidad Perilla Former 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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1942510797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 JADE COAST RD.",
            "address_2": "UNIT # 84",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266462",
            "telephone_number": "858-610-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 JADE COAST RD.",
            "address_2": "UNIT # 84",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266462",
            "telephone_number": "858-610-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "HAZEL ANNE",
        "middle_name": "PERILLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "74261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL ANNE",
            "last_name": "PERILLA",
            "middle_name": "SANIDAD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Benaderet, LCSW
• Nadine Myriam Benador, M.D.
• David Joseph Benaron, M.D.
• Shlomo Benaroya
• Erica Esmeralda Benavides
• Veronica C Benavides
• Joanna Rose Benavidez, PH.D.
• Julia Ana Benavidez
• Julie Benavidez
• Benbassat Dental Corporation

• Pharmacy Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.