Active NPI
Benjamin J Powell
- Specialist
- Oceanside, CA
National Provider Identifier
1992914915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2821 Oceanside Blvd
Oceanside, CA 92054-4800 - Phone
- (760) 721-2781
- Fax
- (760) 721-9571
- NPI assigned
- May 22, 2007
- 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 | Primary |
Addresses
Primary practice location
2821 Oceanside Blvd
Oceanside, CA 92054-4800
Mailing address
1216 Warmlands Ave
Vista, CA 92084-4203
Phone (760) 721-2781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3720 | Other | CA | CAS REGISTATION NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992914915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 WARMLANDS AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920844203",
"telephone_number": "760-721-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 OCEANSIDE BLVD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920544800",
"telephone_number": "760-721-2781",
"fax_number": "760-721-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "BENJAMIN",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAS REGISTATION NUMBER",
"identifier": "3720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.