Active NPI
Katie Besanko
- Medical Physician Assistant
- Los Angeles, CA
National Provider Identifier
1114638053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 66807
- Practice address
- 1762 Westwood Blvd Ste 320
Los Angeles, CA 90024-5641 - Phone
- (413) 455-8555
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 66807 | CA | Primary |
Addresses
Primary practice location
1762 Westwood Blvd Ste 320
Los Angeles, CA 90024-5641
Mailing address
1762 Westwood Blvd Ste 320
Los Angeles, CA 90024-5641
Phone (413) 455-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1114638053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 WESTWOOD BLVD STE 320",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245641",
"telephone_number": "413-455-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 WESTWOOD BLVD STE 320",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245641",
"telephone_number": "413-455-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESANKO",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "66807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.