Theodore Val Benderev, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G43662 Issued in CA

Practice address

26800 Crown Valley Pkwy Ste 475
Mission Viejo, CA 92691-8027

Phone

(888) 827-3286

Fax

(949) 364-2829

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Incontinence and Pelvic Support Institute

  • Urology Physician
  • Mission Viejo, CA
  • NPI 1619054962

  Specialist

  Medicare reassignment NPD
• Vasectomy Institute of California a Medical Corporation

  • Urology Physician
  • Mission Viejo, CA
  • NPI 1235763996
  NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1124045935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28432 VIA MAMBRINO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753346",
            "telephone_number": "949-584-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 475",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918027",
            "telephone_number": "888-827-3286",
            "fax_number": "949-364-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDEREV",
        "first_name": "THEODORE",
        "middle_name": "VAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G43662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferydoon Shan Bekhrad, PH.D.
• Tanya Belloso, LCSW
• Robyn Belz, M.A., CCC-SLP
• Ben McGrath, DPM
• Richard Alan Bender, M.D.
• Eric Olson Benner, M.D.
• Jeffrey Sam Benon, CATC 102373
• Jerry Francisco Benzl, M.D.
• Jerry S Benzl, MD
• Karla Benzl, MD

• Urology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.