DR. MARK BENSON (NPI# 1760506745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760506745 |
| Entity Type | Individual |
| Full Name | DR. MARK BENSON |
| Credential | D.O. |
| Practice Address |
78120 Wildcat Dr Palm Desert CA 92211-1140 |
| Practice Telephone | 7603402682 |
| Practice Fax Number | 7607739695 |
| Mailing Telephone | 7603402682 |
| Mailing Fax Number | 7607739695 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A4564 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1174577613 | 01 |
| CA | 00AX45640 | 05 | |
| CA | GR0069290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
| 1114232287 | Mark Andrew Benson | Counselor | 112 Boeykens Pl Ste 4a, Normal, IL 61761-6161 | 2010-08-13 |
| 1629145198 | Mark Palmer Benson | Internal Medicine | 707 North 7th, Pocatello, ID 83201 | 2006-11-29 |
| 1083654263 | Mark A Benson | Urology | 14416 W Meeker Blvd Ste 301, Sun City West, AZ 85375 | 2006-06-07 |
| 1871596452 | Mark Allen Benson | Optometrist | 800 6th Ave, De Witt, IA 52742-1329 | 2005-05-27 |
| 1720306608 | Mark D Benson | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2010-05-17 |
| 1194808436 | Mark Benson | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-23 |
| 1841211299 | Mark C Benson | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-07-21 |
| 1114950987 | Mark E. Benson | Internal Medicine | 600 Highland Ave., Madison, WI 53792-3284 | 2006-07-07 |
| 1548226616 | Mark Russell Benson | Internal Medicine | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2006-04-26 |
| Street Address |
78120 WILDCAT DR |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430144 | Daniel Lopez | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2005-07-13 |
| 1891221073 | Ramanpreet Brar | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2017-05-05 |
| 1073052791 | Amir Hossein Mortazavientesab | Internal Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2017-02-14 |
| 1215339676 | Tiffany Bell Davlantes | Nurse Practitioner | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2014-09-17 |
| 1750713145 | Mark Morton Minot | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2013-08-07 |
| 1639453905 | Reham Attia | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2011-10-05 |
| 1902015498 | Stephen R Steele Do Inc | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-05-21 |
| 1053435032 | Aurora L Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1932266103 | Mark Tolentino Dela Cruz | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-01-03 |
| 1487674701 | Clement C. Au | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2006-07-20 |
| 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 |
| 1174577613 | Benson Family Medical Group Inc | Family Medicine | 41555 Cook St, Ste 130, Palm Desert, CA 92211 | 2006-05-20 |
| 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.