MICHAEL ANTHONY BENAVIDEZ D.O.
NPI 1205987914
Family Medicine in Upland, CA
About Michael Anthony Benavidez D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ANTHONY BENAVIDEZ D.O. (NPI 1205987914) is an individual family medicine provider in Upland, California, licensed in California (20A6396) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael Anthony Benavidez D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michael Benavidez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
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 Michael Benavidez's NPI number?
The NPI number for Michael Benavidez is 1205987914. It was assigned to this individual provider in the NPPES registry on January 16, 2007.
Where is Michael Benavidez located?
Michael Benavidez practices at 984 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 373-8222.
What is Michael Benavidez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Benavidez enrolled in Medicare?
Yes. Michael Benavidez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Benavidez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Benavidez reassigns Medicare benefits to Benacare Medical Center, Inc (Upland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Benavidez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Benavidez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Michael Anthony Benavidez, D.O. · NPI 1205987914
Family Medicine physician in Upland, California. Individual provider, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1205987914 (Entity type: Individual)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A6396 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 984 W FOOTHILL BLVD, Upland, CA 91786-3700
- **Phone:** (909) 373-8222 · **Fax:** (909) 373-8226
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Benacare Medical Center, Inc (NPI 1427101369, Upland, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 1992
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified ZZZ28742Z (CA); Medicaid 00AX63960 (CA); Medicare UPIN G68283 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205987914) · Data from the CMS NPPES public registry.