BENSON FAMILY MEDICAL GROUP INC (NPI# 1174577613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174577613 |
| Entity Type | Organization |
| Organization Name | BENSON FAMILY MEDICAL GROUP INC |
| Practice Address |
41555 Cook St Ste 130 Palm Desert CA 92211 |
| Practice Telephone | 7603402682 |
| Practice Fax Number | 7607739695 |
| Mailing Telephone | 7603402682 |
| Mailing Fax Number | 7607739695 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AURORA L BENSON (PRESIDENT) |
| Authorized Official Telephone | 7603402682 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20A5361 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20A4564 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX53610 | 05 | |
| CA | 00AX45640 | 05 | |
| CA | GR0069290 | 05 |
| Street Address |
41555 COOK ST STE 130 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447727409 | David Austin Dillon | Speech-Language Pathologist | 41555 Cook St, Palm Desert, CA 92211-5184 | 2018-10-29 |
| 1083145817 | Tessa White | Behavioral Analyst | 41555 Cook St, 100, Palm Desert, CA 92211-5184 | 2017-03-23 |
| 1891236493 | Jennifer Fay Judge | Behavioral Analyst | 41555 Cook St, Palm Desert, CA 92211-5184 | 2017-03-15 |
| 1457894594 | Joanna Lynn Fortin | Physical Therapist | 41555 Cook St, Suite 100, Palm Desert, CA 92211-5184 | 2016-11-21 |
| 1831642701 | Guadalupe Lopez | Specialist/Technologist | 41555 Cook St, Suite 100, Palm Desert, CA 92211-5184 | 2016-07-27 |
| 1114470911 | Dolores Monroy | Specialist/Technologist | 41555 Cook St, Palm Desert, CA 92211-5184 | 2016-07-27 |
| 1083167977 | Melissa Delgado | Specialist/Technologist | 41555 Cook St, Suite 100, Palm Desert, CA 92211-5184 | 2016-07-27 |
| 1114470002 | Annette Valadez | Specialist/Technologist | 41555 Cook St, Palm Desert, CA 92211-5184 | 2016-07-27 |
| 1982005831 | Kristine Clayton | Speech-Language Pathologist | 41555 Cook St, Suite 100, Palm Desert, CA 92211-5184 | 2014-09-10 |
| 1588965081 | Amy Ruth Preci | Speech-Language Pathologist | 41555 Cook St, Suite 100, Palm Desert, CA 92211-5184 | 2010-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679946602 | Jerry Robert Fleischner | Family Medicine | 228 Santa Barbara Circle, Palm Desert, CA 92260 | 2015-11-13 |
| 1376805341 | Robert Don Whinery | Family Medicine | 776 Mission Creek Drive, Palm Desert, CA 92211-5905 | 2012-06-14 |
| 1821235763 | Thomas Dean Gartin | Family Medicine | 75811 Temple Lane, Palm Desert, CA 92211 | 2009-01-14 |
| 1174729461 | Maureen L Prowse | Family Medicine | 183 Gran Via, Palm Desert, CA 92260-2130 | 2007-06-22 |
| 1902010432 | Mary Roberta Newburger | Family Medicine | 49080 Sondgroth Ct, Palm Desert, CA 92260-6391 | 2007-05-10 |
| 1215149745 | A Gregory Caruso Md Inc | Family Medicine | 73-211 Fred Waring Drive, Ste. 100, Palm Desert, CA 92260 | 2007-05-04 |
| 1154478790 | John N Taylor, Md A Professional Corporation | Family Medicine | 41990 Cook St Bldg J, Suite 901, Palm Desert, CA 92211-6100 | 2007-01-05 |
| 1407878473 | Carol Renke | Family Medicine | 44139 Monterey Ave A102, Palm Desert, CA 92260-8700 | 2006-07-25 |
| 1154359271 | Christopher Vega Flores | Family Medicine | 44331 Monterey Ave, Suite C & D, Palm Desert, CA 92260 | 2006-06-29 |
| 1063471118 | Dudley Orfield Scott Jr. | Family Medicine | 73211 Fred Waring Dr, Palm Desert, CA 92260 | 2006-03-18 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.