Individual provider Active NPI

Angelica J Benitez Isabeles

  • Peer Specialist
  • Torrance, CA
National Provider Identifier
1497425060
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-PJAZRQ Issued in CA
Practice address
370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Phone
(310) 787-1500
NPI assigned
Sep 15, 2021
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU
Peer Specialist 175T00000X MPSS-PJAZRQ CA Primary

Addresses

Primary practice location

370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728

Mailing address

370 Crenshaw Blvd Ste E100
Torrance, CA 90503-1728
Phone (310) 787-1500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSS-PJAZRQCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1497425060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CRENSHAW BLVD STE E100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031728",
            "telephone_number": "310-787-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CRENSHAW BLVD STE E100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031728",
            "telephone_number": "310-787-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ ISABELES",
        "first_name": "ANGELICA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-PJAZRQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

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

Verify at the official NPI Registry.