RAVEN BENNETT MD
NPI 1063214708
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 25, 2025
6911 CONVOY CT FL 2, SAN DIEGO, CA 92111(858) 573-6400 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Bennett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN BENNETT MD (NPI 1063214708) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1063214708
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameRAVEN BENNETTCredential: MD
Location Address6911 CONVOY CT FL 2San Diego, CA 92111-1014
Mailing Address6911 Convoy Ct Fl 2San Diego, CA 92111-1014
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1063214708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
6911 CONVOY CT FL 2, San Diego, CA 92111

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Family Medicine
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111
Student in an Organized Health Care Education/Training Program
6911 CONVOY CT FL 2
SAN DIEGO, CA 92111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Bennett's NPI number?

The NPI number for Raven Bennett is 1063214708. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Raven Bennett located?

Raven Bennett practices at 6911 Convoy Ct Fl 2, San Diego, CA 92111. The listed phone number is (858) 573-6400.

What is Raven Bennett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raven Bennett was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.