Individual provider Active NPI

Benjamen Kyle Losoya, PA-C

  • Physician Assistant
  • Sherman Oaks, CA
National Provider Identifier
1265970248
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA54267 Issued in CA
Practice address
15477 Ventura Blvd Ste 101
Sherman Oaks, CA 91403-3047
Phone
(818) 330-5501
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA54267 CA Primary

Addresses

Primary practice location

15477 Ventura Blvd Ste 101
Sherman Oaks, CA 91403-3047

Mailing address

8444 Spectrum Dr
McKinney, TX 75072-5864
Phone (850) 292-6313

Other practice location 1

15477 Ventura Blvd Ste 300
Sherman Oaks, CA 91403-3068
Phone (213) 747-5542

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217002651 CA Practitioner - Physician Assistant 3173866019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salimpour Medical Group Inc. PastSince Mar 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: benjamen.losoya@606990805237764.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1265970248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 SPECTRUM DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725864",
            "telephone_number": "850-292-6313",
            "fax_number": "850-292-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033047",
            "telephone_number": "818-330-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15477 Ventura Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033068",
            "country_code": "US",
            "telephone_number": "213-747-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOSOYA",
        "first_name": "BENJAMEN",
        "middle_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.