Lauren Rae Bennett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

713 N Douglas St
El Segundo, CA 90245-2830

Phone

(310) 906-2788

Fax

(310) 906-2786

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

97.59 of 100Reported as group

Quality

95.18

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ocean Skin and Vein Institute

  • Dermatology Physician
  • Tustin, CA
  • NPI 1790246841
  Medicare reassignment
• Rasoulispine Associates, Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1639635097
  Medicare reassignment
• El Segundo Dermatology, Inc.

  • Specialist
  • El Segundo, CA
  • NPI 1619351707
  NPD
• Beverly Hills Dermatology Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1669886388
  NPD (past)
• BH Dermatology Management Inc.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1326072877
  NPD (past)

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1245830181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48184",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480184",
            "telephone_number": "147-865-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452830",
            "telephone_number": "310-906-2788",
            "fax_number": "310-906-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LAUREN",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Benitez
• Kawtar Benlekbir
• Brittany Bennett
• Dionne Bennett
• Evan Bennett
• Aiden Benton
• Ana Beqaj, PT, DPT
• Madison Lee Berardinelli
• Corbin Berg
• Meredith Berg

• Physician Assistant in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.