Nicole Christine Bendemire, MPA, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19709 Issued in CA

Practice address

2050 Clarmar Way
San Jose, CA 95128-1704

Phone

(408) 294-7551

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eric S Lee MDGroup PAC ID 8224496609, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Eric S Lee MD

  • Dermatology Physician
  • Monterey, CA
  • NPI 1376253161
  Medicare reassignment Care Compare group
• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
  • NPI 1801975156
  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1366619546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MARINA VILLAGE PKWY # 223",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011048",
            "telephone_number": "510-402-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CLARMAR WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281704",
            "telephone_number": "408-294-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDEMIRE",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "MPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larosina Benadam Zonblan
• Sarajane Benassi
• Melissa Benavides Cabrera
• Amy Nicole Bencomo
• Karishma Pradeep Bendale
• Chinda Peo Bendo
• Brian Benedict
• Stacy A Benedict, LCSW
• Jerome Benedito
• Alexzandra Benefield Puckett

• Physician Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.