BENEVOLENCE INDUSTRIES INCORPORATED (NPI# 1497166672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497166672 |
| Entity Type | Organization |
| Organization Name | BENEVOLENCE INDUSTRIES INCORPORATED |
| Other Organization Name | BENEVOLENCE HEALTH CENTER |
| Practice Address |
805 W La Veta Ave 110 Orange CA 92868-3901 |
| Practice Telephone | 7142898800 |
| Practice Fax Number | 7146339928 |
| Mailing Telephone | 7142898800 |
| Mailing Fax Number | 7146339928 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | KWABENA OBENG (CEO/ PRESIDENT) |
| Authorized Official Telephone | 3108007963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Benevolence Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682921 | Benevolence Industries Incorporated | Clinic/Center | 515 N Arrowhead Ave, San Bernardino, CA 92415-0007 | 2016-07-06 |
| 1821469263 | Benevolence Industries Incorporated | Clinic/Center | 920 N Long Beach Blvd, 1, Compton, CA 90221-2260 | 2015-10-12 |
| 1306257324 | Benevolence Industries Incorporated | Clinic/Center | 934 Atlantic Ave, Long Beach, CA 90813-4515 | 2014-05-13 |
| 1043621220 | Benevolence Industries Incorporated | Clinic/Center | 303 N East St, Anaheim, CA 92805-3341 | 2014-05-09 |
| 1457781676 | Benevolence Industries Incorporated | Clinic/Center | 611 E Imperial Hwy, Suite 107, Los Angeles, CA 90059-2358 | 2013-11-25 |
| 1578763207 | Benevolence Industries Incorporated | Clinic/Center | 3631 Crenshaw Blvd, 109, Los Angeles, CA 90016-4869 | 2007-07-20 |
| 1376761940 | Benevolence Industries Incorporated | Clinic/Center | 3533 W. Pico Boulevard, Los Angeles, CA 90019 | 2007-04-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENEVOLENCE INDUSTRIES INCORPORATED | 3533 W Pico Blvd, Los Angeles, CA 90019 |
| Street Address |
805 W LA VETA AVE 110 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154306678 | Behnam Khaleghi | Internal Medicine | 805 W La Veta Ave, Suite 105, Orange, CA 92868-3901 | 2005-12-07 |
| 1336795277 | Lily Chan | Chiropractor | 805 W La Veta Ave, Orange, CA 92868-3901 | 2019-08-15 |
| 1013456417 | Neven Georgey | Dental Hygienist | 805 W La Veta Ave, Orange, CA 92868-3901 | 2017-02-17 |
| 1619423282 | Newport Harbor Pathology Medical Group Inc | Clinical Medical Laboratory | 805 W La Veta Ave, Suite 104, Orange, CA 92868-3901 | 2016-09-01 |
| 1871942219 | Onna Whiteman | Nurse Practitioner | 805 W La Veta Ave, 101, Orange, CA 92868-3901 | 2016-06-07 |
| 1255717732 | P.bishay Dds Inc | Clinic/Center | 805 W La Veta Ave, Orange, CA 92868-3901 | 2015-08-06 |
| 1205120375 | Pacific Rheumatology Medical Center, Inc. | Internal Medicine | 805 W La Veta Ave, Suite 105, Orange, CA 92868-3901 | 2011-06-06 |
| 1861643215 | Ian Bare Md, Inc. | Family Medicine | 805 W La Veta Ave, Suite 103, Orange, CA 92868-3901 | 2008-10-03 |
| 1215070735 | Howard D. Brostoff, D.d.s., Inc | Dentist | 805 W La Veta Ave, Suite 200, Orange, CA 92868-3901 | 2007-02-14 |
| 1538233895 | Elizabeth A Mitchell | Emergency Medicine | 805 W La Veta Ave, Suite 103, Orange, CA 92868-3901 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235627563 | St. Jude Neighborhood Health Centers | Clinic/Center | 725 W La Veta Ave Ste 260, Orange, CA 92868-4439 | 2018-04-23 |
| 1508864216 | Gulf Coast Health Center Inc | Clinic/Center | 610 Strickland Dr Ste 380, Orange, TX 77630-4787 | 2005-07-07 |
| 1235300799 | Newark Community Health Centers Inc. | Clinic/Center | 37 N Day St, Orange, NJ 07050-3608 | 2008-03-12 |
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| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.