Individual provider Active NPI

Rocky J Benoit, MD

  • Emergency Medicine Physician
  • Anaheim, CA
National Provider Identifier
1245337609
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A93817 Issued in CA
Practice address
3033 W Orange Ave
Anaheim, CA 92804-3156
Phone
(714) 566-4464
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A93817 CA Primary

Addresses

Primary practice location

3033 W Orange Ave
Anaheim, CA 92804-3156

Mailing address

3033 W Orange Ave
Anaheim, CA 92804-3156
Phone (714) 566-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061025000262 CA Practitioner - Emergency Medicine 0345247912 Reassigns benefits to 3 organizations
I20230503003283 WY Practitioner - Emergency Medicine 0345247912 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians
South Coast Emergency Medical GroupGroup PAC ID 8628049608, 10 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

3033 W Orange Ave
Anaheim, CA 92804-3156
Phone (714) 827-3000

Hospital & facility affiliations

  • West Anaheim Medical Center Hospital, Anaheim, CA, CCN 050426
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93817CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Lincoln County Hospital District CurrentSince Feb 10, 2025 Accepting new patients
Washakie Medical Center Current Accepting new patients
South Coast Emergency Medical Group Emergency Medicine CurrentSince May 1, 2007 Accepting new patients
Platte County Hospital Current Accepting new patients
Community Hospital Current Accepting new patients
North Lincoln County Hospital District CurrentSince Feb 10, 2025 Accepting new patients
Columbia Emergency Medical Group Inc Emergency Medicine CurrentSince May 1, 2014 Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1720 Termino Ave
Long Beach, CA 90804
Phone (562) 494-0631

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

204 15th St
Wheatland, WY 82201
Phone (307) 322-3636

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 8

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1245337609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W ORANGE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043156",
            "telephone_number": "714-566-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W ORANGE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043156",
            "telephone_number": "714-566-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "ROCKY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A93817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.