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BENTON REAL STOUT PHYSICIAN ASSISTANT
NPI 1649508334
Physician Assistant in Riverside, CA

Active since November 18, 2009
1850 SPRING GARDEN ST, RIVERSIDE, CA 92507(951) 544-9589 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Benton Real Stout Physician Assistant NPPES

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

BENTON REAL STOUT PHYSICIAN ASSISTANT (NPI 1649508334) is an individual physician assistant in Riverside, California, licensed in California (PA20699) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1649508334
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENTON REAL STOUTCredential: PHYSICIAN ASSISTANT
Location Address1850 SPRING GARDEN STRiverside, CA 92507-2050
Mailing Address1850 Spring Garden StRiverside, CA 92507-2050 · (951) 544-9589
Phone(951) 544-9589
Sole ProprietorYes
Enumeration DateNovember 18, 2009
✔ NPI 1649508334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA20699
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1850 SPRING GARDEN ST, Riverside, CA 92507
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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 Benton Stout's NPI number?

The NPI number for Benton Stout is 1649508334. It was assigned to this individual provider in the NPPES registry on November 18, 2009.

Where is Benton Stout located?

Benton Stout practices at 1850 Spring Garden St, Riverside, CA 92507. The listed phone number is (951) 544-9589.

What is Benton Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Benton Stout was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.