MR. BRENT BENTON


Address: 6001 Telegraph Ave, Oakland, CA 94609-1310
Phone: 5106582062

MR. BRENT BENTON (NPI# 1508208075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508208075
Entity Type Individual
Full Name MR. BRENT BENTON
Credential C.P.
Practice Address 6001 Telegraph Ave
Oakland
CA 94609-1310
Practice Telephone 5106582062
Practice Fax Number 5106587779
Mailing Telephone 5106582062
Mailing Fax Number 5106587779
Enumeration Date 2013-07-24
Last Update Date 2013-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6001 TELEGRAPH AVE
City OAKLAND
State CA
Zip Code 94609-1310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356434047 Paula Kay Schwarz Physical Medicine & Rehabilitation 6001 Telegraph Ave, Oakland, CA 94609-1310 2006-10-02
1326217357 Tony L Lafrance Orthotist 6001 Telegraph Ave, Oakland, CA 94609-1310 2008-02-24
1982882155 Paul M Easterwood Orthotic Fitter 6001 Telegraph Ave, Oakland, CA 94609-1310 2008-02-09
1063690238 Robert A Jensen Orthotist 6001 Telegraph Ave, Oakland, CA 94609-1310 2008-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104457159 Gerard John-charles Coughlin Student in an Organized Health Care Education/Training Program Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 2020-01-29
1417502022 Michael Knittel Registered Nurse 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1962057562 Nicole Kjolby Registered Nurse Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 2019-08-09
1396208286 Graham Vallis Student in an Organized Health Care Education/Training Program Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 2019-04-09
1386129526 Gary Mitchell Snider Counselor 390 40th Street, Oakland, CA 94609 2018-10-02
1720568389 Lice Control Inc. Technician 6557 Shattuck Ave, Oakland, CA 94609 2018-08-14
1528559150 Jenna Marie Kincaid Behavior Technician 400 29th St., 204, Oakland, CA 94609 2018-05-18
1336656669 Nicholas Dicarlo Social Worker 465 34th St Ste 6, Oakland, CA 94609 2018-01-09
1174045744 Theodora J Marzouk Home Health Aide 3317 Elm Street, Suite 202, Oakland, CA 94609 2017-07-14
1740728922 Elena Gardella Marriage & Family Therapist 411 30th Street, Suite 412, Oakland, CA 94609 2017-02-07
Find all providers in zip 94609

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366908741 Alicia Lander Prosthetist 5252 Foothill Blvd, Oakland, CA 94601-5438 2019-02-11
1790204063 Glenn Beall Prosthetist 48 Hiawatha Blvd, Oakland, NJ 07436-2919 2017-09-18
1023298205 Andrew Campbell Prosthetist 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 2007-11-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134752942 Elizabeth Olajide Prosthetist 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 2020-02-20
1831733948 Shayla R Williams Prosthetist 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 2019-10-31
1578111290 Charmie Johnson Prosthetist 7309 University Ave Ste B, La Mesa, CA 91942-0525 2019-08-27
1790341915 Gloria Tatiana Dixon Prosthetist 32366 Evening Primrose Trl, Campo, CA 91906-3162 2019-05-13
1629633219 Duana Robinson Prosthetist 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 2019-05-08
1154895944 Keyonia K Paramore Prosthetist 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 2019-01-15
1629544499 Alexander Hetherington Prosthetist 1500 Owens St Ste 115, San Francisco, CA 94158-2338 2018-10-19
1255815155 Mary Alice Swiney Prosthetist 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 2018-09-18
1285113951 Janet Miller Prosthetist 6662 Charlene Ave, San Diego, CA 92114 2018-08-13
1710482807 John Vetter Prosthetist 5110 Whitsett Ave, Valley Village, CA 91607-3016 2018-03-29
Find all providers with the same taxonomy

Competitor

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City OAKLAND
Zip Code 94609

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Dataset Information

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.

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