Carissa Bencito
Nurse Practitioner (Primary Care)

Address: 5417 York Blvd, Los Angeles, CA 90042-2401
Phone: 6268184407

Carissa Bencito (NPI# 1205325750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205325750
Entity Type Individual
Full Name Carissa Bencito
Gender Female
Practice Address 5417 York Blvd
Los Angeles
CA 90042-2401
Practice Telephone 6268184407
Mailing Address 5417 York Blvd
Los Angeles
CA 90042-2401
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-05-09
Last Update Date 2018-05-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP2300X Nurse Practitioner · Primary Care Physician Assistants & Advanced Practice Nursing Providers 95009015 CA

Physician Overview

NPI 1205325750
PAC ID by PECOS 7719229749
Professional Enrollment ID I20190423002262
Full Name Carissa Bencito
Organization Legal Name EDMUND H LEW, MD, INC
Phone Number 8182467115
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9638421118
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050239 GLENDALE ADVENTIST MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1497299697 Hau Cheng Yau Nurse Practitioner 1520 San Pablo St Fl 1, Los Angeles, CA 90033 2016-12-07
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Office Location

Street Address 5417 YORK BLVD
City LOS ANGELES
State CA
Zip Code 90042-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265686117 York Glen Medical Clinic, Inc Family Medicine 5417 York Blvd, Los Angeles, CA 90042-2401 2008-11-05
1437784360 York Family Medical Clinic Inc Family Medicine 5417 York Blvd, Los Angeles, CA 90042-2401 2020-03-11
1083149884 Rhoda Lorica Nurse Practitioner 5417 York Blvd, Los Angeles, CA 90042 2017-04-29
1649202433 Ador A Bustamante Family Medicine 5417 York Blvd, Los Angeles, CA 90042-2401 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992309686 G Interpreting LLC Interpreter 830 Chestnut Ave, #8, Los Angeles, CA 90042 2020-11-24
1972140432 Oak and Stone Marriage and Family Therapy, Inc. Marriage & Family Therapist 5619 North Figueroa Street, #212, Los Angeles, CA 90042 2019-12-04
1730640624 Maria Guadalupe Bykowski Nurse Practitioner Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 2019-03-25
1366935892 Chris Scott Physical Therapist 4295 Via Arbolada #103, Los Angeles, CA 90042 2018-06-09
1043744055 Magdalene Elise Wilhelm Counselor 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 2017-04-17
1669918967 Sara Semal Counselor 5140 1/2 York Blvd, Los Angeles, CA 90042 2017-01-10
1164977427 Jennifer Ann Walters Marriage & Family Therapist 4809 York Blvd, Los Angeles, CA 90042 2016-08-16
1073922415 Michael Gerald Bauer Marriage & Family Therapist 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 2014-08-11
1639519770 Adam Cloe Pathology 6033 Hillandale Dr, Los Angeles, CA 90042 2013-07-03
1730480682 Stat Response Ambulance, Inc. Ambulance 4750 York Blvd., Los Angeles, CA 90042 2010-11-09
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.