Organization Active NPI

Lisa Benest M D a Professional Corporation

  • Specialist
  • Burbank, CA
National Provider Identifier
1497849392
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LISA BENEST M D A PROFESSIONAL CORPORATION
Practice address
1624 W Olive Avenue
Suite B
Burbank, CA 91506
Phone
(818) 729-9149
Fax
(818) 729-9119
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Lisa Benest, MD
Title
President
Phone
(818) 729-9149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

1624 W Olive Avenue
Suite B
Burbank, CA 91506

Mailing address

1633 Erringer Rd
1St Floor
Simi Valley, CA 93065-3583
Phone (805) 578-8300

National Provider Directory

National Provider Directory

Locations

1624 W Olive Ave
Ste H
Burbank, CA 91506
Phone (818) 842-4746

1633 Erringer Rd
Fl 1
Simi Valley, CA 93065

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1497849392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 ERRINGER RD",
            "address_2": "1ST FLOOR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653583",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVENUE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BENEST M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BENEST",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-729-9149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.