JAZEL BENITEZ (NPI# 1811428162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811428162 |
| Entity Type | Individual |
| Full Name | JAZEL BENITEZ |
| Practice Address |
2772 S Martin Luther King Blvd Fresno CA 90706 |
| Mailing Address |
2772 Martin L King Bvld Fresno CA 93705-0832 |
| Practice Telephone | 5592514800 |
| Mailing Telephone | 5592654800 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA DL | D6934889 | 01 |
| Street Address |
2772 S MARTIN LUTHER KING BLVD |
| City | FRESNO |
| State | CA |
| Zip Code | 90706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457571077 | Monique Maria Villareal | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2007-04-26 |
| 1194349175 | Arthur Portillo | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2020-06-04 |
| 1770118069 | Armando Enepomuceno Garcia | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2020-03-06 |
| 1700419306 | Maricela Velasquez | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2020-02-21 |
| 1891326229 | Joe Anthony Gaeta | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2020-02-04 |
| 1144868894 | Rosemary Alica Musquez | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2019-12-12 |
| 1518503440 | Michael Jimenez | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2019-11-26 |
| 1053957365 | Roy Perez | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2019-11-21 |
| 1376185033 | Leslie Ann Posey | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706 | 2019-10-15 |
| 1679127955 | Angela M Romero | Counselor | 2772 S Martin Luther King Blvd, Fresno, CA 93706-1225 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526573 | Edward W. Lew Dmd Inc. | Dentist | 17024 Clark Ave Suite C, Bellflower, CA 90706 | 2017-09-05 |
| 1629501226 | Miriam Zuniga Dds Inc | Clinic/Center | 14349 Woodruff Ave, Bellflower, CA 90706 | 2017-04-10 |
| 1528507175 | Michael Dwayne Chubbs | In Home Supportive Care | 15120 Woodruff Avenue, Unit #25, Bellflower, CA 90706 | 2017-02-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1295119568 | Saima Martinez | Dental Assistant | 9719 Cedar St. Apt. 1, Bellflower, CA 90706 | 2015-07-16 |
| 1891198214 | Vanessa Guerra | Counselor | 17800 Woodruff, Bellflower, CA 90706 | 2014-09-30 |
| 1679995534 | Yunsook Cheung Waldman | Dentist | 10318 E. Rosecrans, Bellflower, CA 90706 | 2014-01-13 |
| 1144652736 | Verzhine Elena Trdatyan | Pharmacist | 15740 Woodruff Avenue, Bellflower, CA 90706 | 2013-08-06 |
| 1245579481 | Lynn F Lo | Nurse Practitioner | 16323 Clark Ave., Bell Flower, CA 90706 | 2013-02-07 |
| 1285972240 | Miriam Zuniga-bernardeau | Dentist | 14349 Woodruff Ave., Bellflower, CA 90706 | 2013-01-26 |
| Find all providers in zip 90706 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.