Stanislava Monika Benesovsky, RN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023075 Issued in CA

Practice address

212 Avenue F
Redondo Beach, CA 90277-5008

Phone

(310) 755-4665

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1346963303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 AVENUE F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775008",
            "telephone_number": "310-755-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 AVENUE F",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775008",
            "telephone_number": "310-755-4665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 N Harbor Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902772056",
            "country_code": "US",
            "telephone_number": "310-373-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENESOVSKY",
        "first_name": "STANISLAVA",
        "middle_name": "MONIKA",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2023-08-01",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023075",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95066198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadyn Karla Bell
• Zarina Bell, DDS
• Bellesleep Inc.
• Gabriela Beltran
• Anne C Benassi, DC
• Ana Benites-Tuz
• Francisco Javier Benitez Jr., MS
• Cameron Bergenholtz
• Shelley Berger, MS, OTR/L
• Irene E Berlin, MFT

• Family Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.