BENTON MEDICAL EQUIPMENT, INC. (NPI# 1669680856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669680856 |
| Entity Type | Organization |
| Organization Name | BENTON MEDICAL EQUIPMENT, INC. |
| Practice Address |
2601 Garcia Ave Mountain View CA 94043-1111 |
| Mailing Address |
1145 Terra Bella Ave Suite B Mountain View CA 94043-1831 |
| Practice Telephone | 6506251000 |
| Practice Fax Number | 6506251133 |
| Mailing Telephone | 6506251000 |
| Mailing Fax Number | 6506251133 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | MR. JERRY BENTON JR. (PRESIDENT,CEO) |
| Authorized Official Telephone | 6506251000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
HMDRL 44407 | CA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
HMDRL 44407 | CA | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | HMDRL 44407 | CA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | HMDRL 44407 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD | ZZZ428502 | 01 |
| CA | AETNA | VENXXXN050892 | 01 |
| Street Address |
2601 GARCIA AVE |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94043-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295924645 | Barry Mcmills | Orthotist | 2601 Garcia Ave, Mountain View, CA 94043-1123 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498211 | Sally A Clark | Marriage & Family Therapist | 2462 Alvin St, Mountain View, CA 94043 | 2020-05-18 |
| 1114587953 | Jared Kyle Leaderman | Counselor | 421 N Shoreline Blvd, Suite 4, Mountain View, CA 94043 | 2019-06-14 |
| 1841779774 | Gilbert Gallahar | Technician | 312 Wescoat Ct, Mountain View, CA 94043 | 2018-08-10 |
| 1871085670 | Randeep Dhillon | Dentist | 65 Evandale Ave Apt B, Mountain View, CA 94043 | 2018-06-06 |
| 1013436724 | Allison N Smith | Pharmacist | 555 W. Middlefield Rd., D307, Mountain View, CA 94043 | 2017-09-13 |
| 1205350071 | Jacob Allan Hall | Audiologist | 295 Bernardo Ave, Mountain View, CA 94043 | 2017-08-02 |
| 1306144431 | Costco Wholesale | Pharmacist | 1000 N. Rengstorff Ave., Mt. View, CA 94043 | 2011-03-15 |
| 1871803155 | Ashley D Moffett | Marriage & Family Therapist | 2680 Bayshore Parkway, Suite 106, Mountain View, CA 94043 | 2010-10-20 |
| 1720205396 | Dalia Shiran | Psychologist | 2672 East Bayshore Pkwy, Suite 602, Mountain View, CA 94043 | 2007-04-18 |
| 1811033533 | Paul Gartlan | Registered Nurse | 501 Whisman Rd., Mountain View, CA 94043 | 2007-01-29 |
| Find all providers in zip 94043 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307542 | Life Scienceplus, Inc | Durable Medical Equipment & Medical Supplies | 2520 Wyandotte St Ste A, Mountain View, CA 94043-2381 | 2020-08-22 |
| 1609421189 | Radial Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Grant Rd # G01, Mountain View, CA 94040-4302 | 2019-08-01 |
| 1336439090 | Livongo Health Inc | Durable Medical Equipment & Medical Supplies | 150 W Evelyn Ave Ste 150, Mountain View, CA 94041-1556 | 2011-04-15 |
| 1508174095 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 W 2nd St, Mountain View, MO 65548-8590 | 2010-09-17 |
| 1184856577 | Polyremedy, Inc. | Durable Medical Equipment & Medical Supplies | 2637 Marine Way, Suite 100, Mountain View, CA 94043-1125 | 2009-08-18 |
| 1093983132 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1080 Hwy 414, Mountain View, WY 82939-0219 | 2008-02-12 |
| 1750598777 | Advanced Health Products | Durable Medical Equipment & Medical Supplies | 2257 Old Middlefield Way, Mountain View, CA 94043-2405 | 2007-05-17 |
| 1982768214 | Stone County Medical Supply | Durable Medical Equipment & Medical Supplies | 125 West Main, Mountain View, AR 72560-1938 | 2006-12-21 |
| 1154430502 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1040 Grant Road, Grant Road Center, Mountain View, CA 94040-3226 | 2006-08-30 |
| 1487664934 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 298 San Antonio Rd Ste 150, Mountain View, CA 94040-5306 | 2006-08-08 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94043 |
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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.