Active NPI
Angela Bencke, ANP -BC
- Adult Health Nurse Practitioner
- San Diego, CA
National Provider Identifier
1326343864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 20076
- Practice address
- 7901 Frost St
San Diego, CA 92123-2701 - Phone
- (858) 939-3200
- NPI assigned
- Jan 13, 2011
- Last updated
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 20076 | CA | Primary |
Addresses
Primary practice location
7901 Frost St
San Diego, CA 92123-2701
Mailing address
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20076 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1326343864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 FROST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232701",
"telephone_number": "858-939-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 FROST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232701",
"telephone_number": "858-939-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCKE",
"first_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "ANP -BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "20076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.