Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Anthony Benavidez, DO

Individual provider Family Medicine Physician · NPI 1205987914

Michael Anthony Benavidez, DO is a Family Practice in Upland, California. Graduated from College of Osteo Med of the Pacific at Pomona in 1992, 34 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
34
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

984 W Foothill Blvd
Upland, CA 91786-3700
Phone: (909) 373-8222
Fax: (909) 373-8226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A6396 (CA)

Record details

NPI number1205987914
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address984 West Foothill Boulevard, Upland, CA 91786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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