BENSEN THANH THAI
NPI 1437646759
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD, FONTANA, CA 92335(504) 517-6324 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 24, 2021, Apr 23, 2018 (2 updates tracked since 2018).

About Bensen Thanh Thai NPPES

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

BENSEN THANH THAI (NPI 1437646759) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2018).

NPPES Registry Identity

NPI1437646759
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENSEN THANH THAI
Location Address17234 VALLEY BLVDFontana, CA 92335
Mailing Address17234 Valley BlvdFontana, CA 92335
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1437646759 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.
17234 VALLEY BLVD, Fontana, CA 92335

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

Bensen Thanh Thai 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.

PECOS PAC ID8820414733
PECOS Enrollment IDI20210927002589
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.

Medicare Billing Reassignment

Medicare enrollment records show Bensen Thai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 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.

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
17234 VALLEY BLVD
FONTANA, CA 92335
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335

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 Bensen Thai's NPI number?

The NPI number for Bensen Thai is 1437646759. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Bensen Thai located?

Bensen Thai practices at 17234 Valley Blvd, Fontana, CA 92335. The listed phone number is (504) 517-6324.

What is Bensen Thai's specialty?

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

Is Bensen Thai enrolled in Medicare?

Yes. Bensen Thai 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 Bensen Thai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bensen Thai reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Bensen Thai'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 Bensen Thai was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.