ALICE JEAN BENHAM NP NPI 1578611570

NPI Information

  • NPI: 1578611570
  • Provider Name: ALICE JEAN BENHAM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 350 30TH ST
    SUITE 530
    OAKLAND, CA
    ZIP 94609
  • Phone: (510) 839-0584

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NPI Details

Alice Jean Benham, NP is a family nurse practitioner in Oakland, CA. Alice Jean Benham, NP NPI is 1578611570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 30TH ST
SUITE 530
OAKLAND, CA
ZIP 94609-424
Phone: (510) 839-0584
Fax: (510) 839-1692

The NPI 1578611570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN498229 NP10994CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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