Individual provider Active NPI

Danielle Katrina Benosa, O.D.

  • Optometrist
  • Valencia, CA
National Provider Identifier
1265868723
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14796TLG Issued in CA
Practice address
27420 Tourney Rd Ste 100
Valencia, CA 91355-5631
Phone
(661) 259-3937
NPI assigned
Sep 16, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4843 FL
Optometrist 152W00000X 14796TLG CA Primary

Addresses

Primary practice location

27420 Tourney Rd Ste 100
Valencia, CA 91355-5631

Mailing address

27713 Coldsprings PL
Valencia, CA 91354-1446

Other practice location 1

10605 Balboa Blvd
Suite 230
Granada Hills, CA 91344-6342
Phone (818) 368-4114

Other practice location 2

10605 Balboa Blvd
Suite 230
Granada Hills, CA 91344-6342
Phone (818) 368-4114

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150327001031 CA Practitioner - Optometry 6406080324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
42.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14796TLGCAMDOptometrist
OPC 4843FLMDOptometrist
14796CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karine Shaghoyan Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

10605 Balboa Blvd
Ste 230
Granada Hills, CA 91344
Phone (818) 368-4114

Interoperability endpoints

  • Direct secure messaging: danielle.benosaod.p3@direct.valleyeyecenter.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265868723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27713 COLDSPRINGS PL",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 100",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555631",
            "telephone_number": "661-259-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10605 Balboa Blvd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913446342",
            "country_code": "US",
            "telephone_number": "818-368-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10605 Balboa Blvd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913446342",
            "country_code": "US",
            "telephone_number": "818-368-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOSA",
        "first_name": "DANIELLE",
        "middle_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4843",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14796TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.