Active NPI
Orly Benji, PHYISICIAN ASSISTANT
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1427294081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 20128
- Practice address
- 6222 W Manchester Ave Ste a
Los Angeles, CA 90045-3801 - Phone
- (310) 670-1840
- Fax
- (310) 670-4016
- NPI assigned
- Dec 31, 2008
- Last updated
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 20128 | CA | Primary |
Addresses
Primary practice location
6222 W Manchester Ave Ste a
Los Angeles, CA 90045-3801
Mailing address
6222 W Manchester Ave Ste a
Los Angeles, CA 90045-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20128 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Advanced Kidney Solutions Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Torrance, CA
- NPI 1992160501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1427294081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 W MANCHESTER AVE STE A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453801",
"fax_number": "310-670-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6222 W MANCHESTER AVE STE A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453801",
"telephone_number": "310-670-1840",
"fax_number": "310-670-4016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJI",
"first_name": "ORLY",
"name_prefix": "Ms.",
"credential": "PHYISICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-31",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "20128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.