Individual provider Active NPI

Neilen Benvegnu, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Newport Beach, CA
National Provider Identifier
1073054490
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A158103 Issued in CA
Practice address
441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone
(949) 491-9991
NPI assigned
Mar 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X A158103 CA Primary

Addresses

Primary practice location

441 Old Newport Blvd
Newport Beach, CA 92663-4210

Mailing address

441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone (714) 309-9270

Other practice location 1

1051 S Matthew Way
Anaheim, CA 92808-1459
Phone (714) 309-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315002763 CA Practitioner - Orthopedic Surgery 4385997196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A158103CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group Inc CurrentSince Feb 15, 2023 Accepting new patients
Alameda Health System Single Specialty CurrentSince Jun 30, 2024 Accepting new patients
Alameda Health System Single Specialty Current Accepting new patients
Newport Care Medical Group, Inc Single Specialty CurrentSince Feb 15, 2023 Accepting new patients
Alameda Health System CurrentSince Jun 30, 2024 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

Interoperability endpoints

  • Direct secure messaging: nbenvegnu131411@alamedahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1073054490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634210",
            "telephone_number": "714-309-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634210",
            "telephone_number": "949-491-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 S Matthew Way",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928081459",
            "country_code": "US",
            "telephone_number": "714-309-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENVEGNU",
        "first_name": "NEILEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A158103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.