BENJAMIN B DEVORE
NPI 1205483666
Clinical Neuropsychologist in San Diego, CA

Q: What is Benjamin Devore's NPI number?

The NPI number for Benjamin Devore is 1205483666. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Q: What is Benjamin Devore's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Devore was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 21, 2019PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Nov 17, 2025, Aug 15, 2025 and 1 more (4 updates tracked since 2019).

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About Benjamin B Devore NPPES

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

BENJAMIN B DEVORE (NPI 1205483666) is an individual clinical neuropsychologist in San Diego, California and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205483666

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameBENJAMIN B DEVORE

Location Address34800 BOB WILSON DRSan Diego, CA 92134-2111

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (310) 801-2666

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateAugust 21, 2019

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1205483666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X · License 0810007318 (VA)

34800 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin B Devore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)