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BENJAMIN ALEXANDER SEBREROS DO
NPI 1902393176
General Practice in San Diego, CA

Active since April 13, 2018PECOS Enrolled
34800 BOB WILSON DR STE 300, SAN DIEGO, CA 92134(619) 643-5914 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2024, Nov 26, 2019, Apr 13, 2018 (3 updates tracked since 2018).

About Benjamin Alexander Sebreros Do NPPES

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

BENJAMIN ALEXANDER SEBREROS DO (NPI 1902393176) is an individual general practice provider in San Diego, California, licensed in Nebraska (2062) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902393176
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBENJAMIN ALEXANDER SEBREROSCredential: DO
Location Address34800 BOB WILSON DR STE 300San Diego, CA 92134-0001
Mailing Address34800 Bob Wilson Dr Ste 300San Diego, CA 92134-1300 · (619) 643-5914
Phone(619) 643-5914
Sole ProprietorNo
Enumeration DateApril 13, 2018
Last NPPES UpdateJune 29, 20243 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1902393176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 2062
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34800 BOB WILSON DR STE 300, San Diego, CA 92134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Alexander Sebreros Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Benjamin Sebreros's NPI number?

The NPI number for Benjamin Sebreros is 1902393176. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Benjamin Sebreros located?

Benjamin Sebreros practices at 34800 Bob Wilson Dr Ste 300, San Diego, CA 92134. The listed phone number is (619) 643-5914.

What is Benjamin Sebreros's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Benjamin Sebreros enrolled in Medicare?

Yes. Benjamin Sebreros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Sebreros was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.