Individual provider Active NPI

Lisa Benest, MD

  • Dermatology Physician
  • Burbank, CA
National Provider Identifier
1104898238
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G77204 Issued in CA
Practice address
1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone
(818) 729-9149
Fax
(818) 729-9119
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G77204 CA Primary

Addresses

Primary practice location

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459

Mailing address

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone (818) 729-9149

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
I20081204000890 CA Practitioner - Dermatology 5193744431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amir Larian MD IncGroup PAC ID 7810266129, 3 clinicians

Practice addresses (Care Compare)

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone (818) 729-9149

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions791
Removal or shaving of skin growth25
Skin biopsy74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77204CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Larian MD Inc Dermatology CurrentSince Aug 1, 2017 Accepting new patients

Locations

1624 W Olive Ave
Ste B
Burbank, CA 91506
Phone (818) 729-9149

Organizations & group practices 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1104898238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEST",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.