UNIVERSITE DU BENIN MEDICAL GROUP, INC., (NPI# 1407988660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407988660 |
| Entity Type | Organization |
| Organization Name | UNIVERSITE DU BENIN MEDICAL GROUP, INC., |
| Other Organization Name | UNIVERSITE DU BENIN MEDICAL GROUP, INC. |
| Practice Address |
650 Hobson Way # 204 Oxnard CA 93030-6711 |
| Mailing Address |
Po Box 6299 Torrance CA 90504 |
| Practice Telephone | 8054869100 |
| Practice Fax Number | 8054867330 |
| Mailing Telephone | 8054869100 |
| Mailing Fax Number | 8054867330 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-06-01 |
| Authorized Official Name | DR. KIANSI BONI (OWNER) |
| Authorized Official Telephone | 8054869100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A45536 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A45536 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A45536 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | A45536 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A455360 | 05 |
| Other Name | Type Code |
|---|---|
| UNIVERSITE DU BENIN MEDICAL GROUP, INC. | Doing Business As Name - Organization |
| Street Address |
650 HOBSON WAY # 204 |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| 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 |
|---|---|---|---|---|
| 1710597430 | Raymond F Lopez Jr Md A Professional Corporation | Family Medicine | 933 W 7th St, Oxnard, CA 93030-6755 | 2020-08-06 |
| 1841714334 | Catherine Alexandra Sundloff | Family Medicine | 2220 E Gonzales Rd Ste 120, Oxnard, CA 93036-3707 | 2017-07-27 |
| 1851794226 | Osf Medical Group of California, Inc. | Family Medicine | 640 S B St, Oxnard, CA 93030-7142 | 2014-09-30 |
| 1285983494 | Henry K. Liao, Md Incorporated | Family Medicine | 1532 Saviers Road, Oxnard, CA 93033-1737 | 2012-09-04 |
| 1962772491 | Khoi Dinh Nguyen | Family Medicine | 905 South A Street, Suite #1, Oxnard, CA 93030-9252 | 2011-12-30 |
| 1598076424 | Paul C. Algra | Family Medicine | 1751 Lombard Street, #a, Oxnard, CA 93030 | 2010-06-25 |
| 1487984670 | Brian Bai Clinic | Family Medicine | 1200 N Ventura Rd Ste A, Oxnard, CA 93030-3827 | 2010-01-11 |
| 1851521207 | Mish Pearl | Family Medicine | 2240 E Gonzales Rd Unit 120, Oxnard, CA 93036 | 2009-07-20 |
| 1316108053 | Darin Chambers | Family Medicine | 2400 S C St, Oxnard, CA 93033 | 2008-06-24 |
| 1144424102 | Brian C Bai | Family Medicine | 331 S C St, Ste A., Oxnard, CA 93030-5824 | 2007-06-13 |
| Find all providers in OXNARD | ||||
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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.