Active NPI
Lisa Benest M D a Professional Corporation
- Specialist
- Burbank, CA
National Provider Identifier
1497849392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.