Los Robles Emergency Physicians Medical Group

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP

Practice address

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Phone

(805) 370-4435

Fax

(805) 379-5579

NPI assigned

Jun 23, 2006

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard S Benedon, M.D.NPI 1811923360

Title

Owner

Phone

(805) 370-4435

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Seth Benedon, M.D.

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Pflugerville, TX
  • NPI 1811923360

  CA

  Medicare reassignment NPD Authorized official
• Miranda Dianne Ballard, FNP-BC

  • Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1144086109
  Medicare reassignment NPD
• Isaac Bash, MD

  • Emergency Medicine Physician
  • Santa Monica, CA
  • NPI 1619934643
  Medicare reassignment NPD
• Roland Egon Bastian, M.D.

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1982634242
  Medicare reassignment NPD
• Matthew P Beatty, MD

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1083668347
  Medicare reassignment NPD
• Tina Jean Beckham, F.N.P.

  • Nurse Practitioner
  • Oxnard, CA
  • NPI 1801837836
  Medicare reassignment NPD
• Dainis Andrejs Berzins, DO

  • Emergency Medicine Physician
  • West Hollywood, CA
  • NPI 1730704909
  Medicare reassignment NPD
• Marie Campbell, FNP-BC

  • Family Nurse Practitioner
  • Moorpark, CA
  • NPI 1841476801
  Medicare reassignment NPD
• Victor Albert Candioty, MD

  • Emergency Medicine Physician
  • Santa Monica, CA
  • NPI 1437116472
  Medicare reassignment NPD
• Evelyn Elise Cardenas, M.D.

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1154356855
  Medicare reassignment NPD
• Amy Lynn Carter, FNP-C

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1316550452
  Medicare reassignment NPD
• Christine Chang, MD

  • Emergency Medicine Physician
  • Oxnard, CA
  • NPI 1003132671
  Medicare reassignment NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1417983552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920146",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920146",
            "telephone_number": "805-370-4435",
            "fax_number": "805-379-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W JANSS RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601847",
            "telephone_number": "805-370-4435",
            "fax_number": "805-379-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ROBLES EMERGENCY PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "BENEDON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-370-4435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia M Lopez, FNP-C
• Morgan E Lopker, PT, DPT
• Raelynne Spracklen Lorenz, M.A., CCC-SLP
• Lorne S Label M D a Medical Corporation
• Los Robles CPSP
• Los Robles Homecare Services Inc (Los Robles Healthcare)
• Los Robles Hospice (Los Robles Healthcare)
• Los Robles Hospital and Medical Center
• Los Robles Pediatric Medical Group, Inc.
• Los Robles Pharmacy Inc (Los Robles Pharmacy)

• Emergency Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.