Victoria Irene Bennett, PA-C
Individual provider Active NPI Medical Physician Assistant · El Dorado Hills, CA
NPI 1497066286 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1497066286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA21006 (CA)
- Practice address
- 1264 Hawks Flight CT Ste 100
El Dorado Hills, CA 95762-9354 - Phone
- (916) 939-8400
- Fax
- (916) 939-8971
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
Hospital & facility affiliations
- Mercy Hospital of Folsom
- Marshall Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910001082 | CA | Practitioner - Physician Assistant | 9931224136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA21006 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500
8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420
1264 Hawks Flight Ct
Ste 100
El Dorado Hills, CA 95762
Phone (916) 933-4222
7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500
3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
3000 Q St
Fl 2
Sacramento, CA 95816
Phone (916) 733-3323
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
3000 Q St
Fl 1
Sacramento, CA 95816
Phone (916) 733-3301
8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA21006 | CA | Yes |
Addresses
Primary practice location
1264 Hawks Flight CT Ste 100
El Dorado Hills, CA 95762-9354
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other providers in El Dorado Hills, CA
- Ilham Louli Bayaa
- Aidan Beadles
- Ginger M Beaton
- Behavior Analytic Solutions, LLC
- Sohrab Behbahani
- Kelley Berberich
- Beretta Physical Therapy, Inc.
- Michael Joseph Beretta
- Shannon Beretta
- Bonnie Jean Berger
All providers in El Dorado Hills, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.