BENJAMIN ALEXANDER SEBREROS


Address: 2446 Trident Way Bldg 637, San Diego, CA 92155-0001
Phone: 6194372581

BENJAMIN ALEXANDER SEBREROS (NPI# 1902393176) 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) 1902393176
Entity Type Individual
Full Name BENJAMIN ALEXANDER SEBREROS
Credential DO
Practice Address 2446 Trident Way Bldg 637
San Diego
CA 92155-0001
Mailing Address 2446 Trident Way Bldg 637
San Diego
CA 92155-5494
Practice Telephone 6194372581
Mailing Telephone 6194372581
Enumeration Date 2018-04-13
Last Update Date 2019-11-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2446 TRIDENT WAY BLDG 637
City SAN DIEGO
State CA
Zip Code 92155-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578941597 Zenus Joe Wilson General Practice 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 2015-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134454770 Carrie Lynn Decker Military Health Care Provider Eod Exp Support Unit One, 3502 Attu Rd Bldg 326 San Diego Ca, Apo, AA 92155 2009-10-15
1578779559 Joe Leonard Bonvie Psychologist Naval Special Warfare Command, Medical Dept Code 04, 2000 Trident Way, San Diego, CA 92155 2007-05-15
1134350226 Christopher Robert Terry Military Health Care Provider 2446 Trident Way, Coranado, CA 92155 2009-08-06
1003840653 Robert David Gerardi Military Health Care Provider 2841 Rendova Road, San Diego, CA 92155 2006-07-10
1346597234 Jermy Joe Brower Military Health Care Provider Seal Team One 2534 Trident Way Bldg 614, San Diego, CA 92155-0001 2012-08-09
1720376684 Brittany A Hout Physician Assistant Anaconda Rd Bldg 262, San Diego, CA 92155-0001 2011-07-13
1639278682 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Bouganville Rd, Bldg 506, San Diego, CA 92155-0001 2006-09-22
1790056372 U. S. Navy Military Hospital 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 2012-01-13
1366592248 Robert Ray Lowe Jr. Emergency Medicine 3400 Tarawa Rd, San Diego, CA 92155-5002 2007-01-11
1801868633 Michael Griffin Swanson Family Medicine Naval Special Warfare Group Three, 3400 Tarawa Road Bldg.19, San Diego, CA 92155-5002 2006-02-06
Find all providers in zip 92155

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716204 Julianne A. Demery Student in an Organized Health Care Education/Training Program Naval Base San Diego 2450 Craven Street #3300, San Diego, CA 92136-0001 2020-10-01
1649885732 Leanne Evalyn Morancie Student in an Organized Health Care Education/Training Program 4231 Balboa Ave # 1245, San Diego, CA 92117-5504 2020-09-15
1689288136 Melissa Eileen Fitzgibbon Student in an Organized Health Care Education/Training Program 5114 63rd St, San Diego, CA 92115-1407 2020-09-02
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1861004392 Mareena Biju Student in an Organized Health Care Education/Training Program 10995 Evening Creek Dr E, San Diego, CA 92128-4009 2020-08-17
1184235202 Taylor G Wasko Student in an Organized Health Care Education/Training Program 4114 Swift Ave Apt 4, San Diego, CA 92104-2249 2020-08-12
1790394245 Elisa Melo Da Silva Smerik Student in an Organized Health Care Education/Training Program 3235 Loma Riviera Dr, San Diego, CA 92110-5511 2020-07-29
1215554076 Ana Mohammad-zadeh Student in an Organized Health Care Education/Training Program 17289 Russet St, San Diego, CA 92127-2135 2020-06-28
1265056048 Tilbe Yildirim Student in an Organized Health Care Education/Training Program 1963 Fourth Ave., San Diego, CA 92101 2020-06-08
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92155

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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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