Vicente Audoni Benavidez, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA22414 Issued in CA

Practice address

2145 Niles St
Bakersfield, CA 93305-5007

Phone

(661) 327-5984

Fax

(661) 327-2541

NPI assigned

Mar 6, 2012

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vicente Audoni Benavidez Former name

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

Specialty

Physician Assistant

Education

Stanford University School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Poly-Clinic Medical Center, Inc.Group PAC ID 8426098807, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bakersfield Community Home Health Home health agency, Bakersfield, CA, CCN 059738
• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

81.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIAIBD
• FHIR API: https://fhir4.healow.com/fhir/r4/EIAIBD/Endpoint/EIAIBD

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.

• Polyclinic Medical Center, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1750308656
  Medicare reassignment Care Compare group
• Polyclinic Medical Center, Inc.

  • Community/Behavioral Health Agency
  • Bakersfield, CA
  • NPI 1053589598
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• D a Health Care Services

  dba Bakersfield Community Home Health

  • Home Health Agency
  • Bakersfield, CA
  • NPI 1700281037
  Care Compare affiliation
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1356615421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055007",
            "telephone_number": "661-327-5984",
            "fax_number": "661-327-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055007",
            "telephone_number": "661-327-5984",
            "fax_number": "661-327-2541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Niles St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933055007",
            "country_code": "US",
            "telephone_number": "661-327-5984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "VICENTE",
        "middle_name": "AUDONI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICENTE",
            "last_name": "BENAVIDEZ",
            "middle_name": "AUDONI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jayson Benavides
• Subrina Maria Benavides, AMFT
• Teresa E Benavides
• Benavidez Physician Assistant Medical Clinic, Inc.
• Isidro Benavidez
• Sunita Bendale, MSN, CRNA
• Bender Medical Group
• Martin W Benefield Jr.
• Benevolent Innovations LLC
• Natalia Benik, PA

• Medical Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.