Individual provider Active NPI

Beni Adegoke Adeniji, MD

  • Obstetrics & Gynecology Physician
  • West Hollywood, CA
National Provider Identifier
1093869596
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A69154 Issued in CA
Practice address
8700 Beverly Blvd
Suite 160 West
West Hollywood, CA 90048-1804
Phone
(310) 423-0895
Fax
(310) 423-0140
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A69154 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
Suite 160 West
West Hollywood, CA 90048-1804

Mailing address

8700 W. Beverly Blvd
Cedars-Sinai Medical Center
Los Angeles, CA 90048
Phone (310) 423-0895

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
I20070409000650 CA Practitioner - Obstetrics/Gynecology 6709980378 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69154CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Medical Group CurrentSince May 15, 2015 Accepting new patients
Valley Children'S Specialty Medical Group, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
County of Tulare Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations

12500 Stockdale Hwy
Bakersfield, CA 93314
Phone (661) 564-3300

215 N Fresno St
Ste 370
Fresno, CA 93701
Phone (559) 459-2327

9300 Valley Childrens Pl
#16
Madera, CA 93636
Phone (559) 353-6195

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1190 Olivewood Dr
Ste A
Merced, CA 95348

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Interoperability endpoints

  • Direct secure messaging: badeniji15922@valleychildrens-prd.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1093869596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W. BEVERLY BLVD",
            "address_2": "CEDARS-SINAI MEDICAL CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "310-423-0895",
            "fax_number": "310-423-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "SUITE 160 WEST",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-0895",
            "fax_number": "310-423-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIJI",
        "first_name": "BENI",
        "middle_name": "ADEGOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A69154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.