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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

Family Medicine
17234 VALLEY BLVD
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
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
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.

When was this NPI record last updated?

The NPPES record for Bensen Thai was last updated on November 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.