Provider Demographics
NPI:1083803332
Name:BENTON, CLAUDIA PINEDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:PINEDA
Last Name:BENTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 E GONZALES RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-3707
Mailing Address - Country:US
Mailing Address - Phone:805-981-5115
Mailing Address - Fax:805-654-7610
Practice Address - Street 1:2220 E GONZALES RD
Practice Address - Street 2:SUITE 102
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-3707
Practice Address - Country:US
Practice Address - Phone:805-981-5115
Practice Address - Fax:805-654-7610
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 495083171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator