Benefit Surgery Medical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

240000845 Issued in CA

Legal business name

BENEFIT SURGERY MEDICAL CENTER

Practice address

9674 Archibald Ave
Suite 125
Rancho Cucamonga, CA 91730

Phone

(909) 989-4100

Fax

(909) 989-5400

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Yong Tai Lee, MD

Title

Ceo

Phone

(909) 989-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benefit Surgery Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taell Ted Kim, M.D.

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1144244690
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1952355422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 ARCHIBALD AVE",
            "address_2": "SUITE 125",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-989-4100",
            "fax_number": "909-989-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9674 ARCHIBALD AVE",
            "address_2": "SUITE 125",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-989-4100",
            "fax_number": "909-989-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFIT SURGERY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "TAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-989-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "240000845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURG. CLINIC LICENSE DHS",
            "identifier": "240000845",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benefit Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Beltran
• Veronica Beltran
• Jamie Rhiana Benavidez
• Alaina Benbow, BCBA
• Amanee Bendelhoum, LCSW
• Aimee Nicole Benitez
• Elizabeth Isabella Benitez
• Sara Benitez
• Della C Bennett, MD
• Jacqueline Myung Benoy

• Ambulatory Surgical Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.