BENACARE MEDICAL CENTER, INC
NPI 1427101369
Family Medicine in Upland, CA

Active since January 22, 2007CLIA 05D1021025 · Waiver
984 W FOOTHILL BLVD, UPLAND, CA 91786(909) 373-8222(877) 803-0308 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benacare Medical Center, Inc NPPES

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

BENACARE MEDICAL CENTER, INC (NPI 1427101369) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Melinda Benavidez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427101369
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBENACARE MEDICAL CENTER, INC
Location Address984 W FOOTHILL BLVDUpland, CA 91786-3700
Mailing Address984 W Foothill BlvdUpland, CA 91786-3700 · (909) 373-8222 · Fax (877) 803-0308
Fax(877) 803-0308
Organization SubpartNo
Authorized OfficialMelinda BenavidezAdministrator · (909) 373-8222
Enumeration DateJanuary 22, 2007
Last NPPES UpdateApril 2, 2014
✔ NPI 1427101369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A6396✔ Licensed in CA · 20A8664
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
984 W FOOTHILL BLVD, Upland, CA 91786

Other Identifiers 4

Medicaid00AX63960CA
Medicare UPING68283CA
Medicare UPINI08852CA
Medicare ID-Type UnspecifiedZZZ28742ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benacare Medical Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Benacare Medical Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1205987914
984 W FOOTHILL BLVD
Upland, CA 91786
(909) 373-8222
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821138405
1770 N ORANGE GROVE AVE
Pomona, CA 91767
(909) 469-9494
✔ PECOS5.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1021025

Benacare Medical Center Inc · Upland, CA
Active · expires Jan 8, 2028
CLIA Number05D1021025
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorMichael A. Benavidez Do
Laboratory Phone(909) 518-1322
Laboratory LocationBenacare Medical Center Inc984 W Foothill Blvd, Upland, CA 91786
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Benacare Medical Center, Inc's NPI number?

The NPI number for Benacare Medical Center, Inc is 1427101369. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Benacare Medical Center, Inc located?

Benacare Medical Center, Inc is located at 984 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 373-8222.

What is Benacare Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benacare Medical Center, Inc enrolled in Medicare?

Yes. Benacare Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Benacare Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Benacare Medical Center, Inc. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Benacare Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1021025) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benacare Medical Center, Inc was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.