Individual provider Active NPI

Cinder Benitez

  • Community Health Worker
  • Willits, CA
National Provider Identifier
1962910422
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
110 E Mendocino Ave
Willits, CA 95490-3508
Phone
(707) 459-6222
NPI assigned
Jan 18, 2018
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Community Health Worker 172V00000X NU Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

110 E Mendocino Ave
Willits, CA 95490-3508

Mailing address

PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010

Other practice location 1

1201 Talmage Rd
Ukiah, CA 95482-6021
Phone (707) 462-4033

Other practice location 2

7351 Sems Ln
Redwood Valley, CA 95470-9424
Phone (707) 467-9192

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Community Services, Inc PastSince Aug 6, 2023 Accepting new patients
Redwood Community Services, Inc. Past Accepting new patients
Redwood Community Services, Inc. Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1962910422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954822077",
            "telephone_number": "707-467-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MENDOCINO AVE",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954903508",
            "telephone_number": "707-459-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Talmage Rd",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954826021",
            "country_code": "US",
            "telephone_number": "707-462-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7351 Sems Ln",
            "address_purpose": "LOCATION",
            "city": "Redwood Valley",
            "state": "CA",
            "postal_code": "954709424",
            "country_code": "US",
            "telephone_number": "707-467-9192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "CINDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willits, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.