Active NPI
Stephen Andrew Benson, DPM
- Foot & Ankle Surgery Podiatrist
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4426
- Practice address
- 555 Marin St
Suite 290
Thousand Oaks, CA 91360-4236 - Phone
- (805) 497-6979
- Fax
- (805) 777-7028
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | E4426 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4426 | CA | Primary |
Addresses
Primary practice location
555 Marin St
Suite 290
Thousand Oaks, CA 91360-4236
Mailing address
555 Marin St
Suite 290
Thousand Oaks, CA 91360-4236
Phone (805) 497-6979
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W22604A | Other | CA | GROUP MEDICARE PIN |
| W22604 | Other | CA | GROUP MEDICARE PIN |
| 000E44260 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5115 Clareton Dr
Suite 120
Agoura Hills, CA 91301-6313
Phone (818) 707-3668
555 Marin St
Suite 290
Thousand Oaks, CA 91360-4112
Phone (805) 497-6979
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 186 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 152 |
| Removal or shaving of skin growth | 73 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agoura-Los Robles Podiatry Centers | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael a. Zapf, DPM | Sports Medicine | Past | Accepting new patients |
| Simi Valley Hospital and Health Care Services | Past | Accepting new patients |
Locations
5115 Clareton Dr
Agoura Hills, CA 91301
5115 Clareton Dr
Ste 120
Agoura Hills, CA 91301
Phone (805) 497-6979
28240 Agoura Rd
Ste 101
Agoura Hills, CA 91301
Phone (818) 707-3668
125 Parrot Ln
Simi Valley, CA 93065
Phone (805) 584-3668
425 Haaland Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 496-2383
227 W Janss Rd
Ste 315
Thousand Oaks, CA 91360
Phone (805) 390-9974
555 Marin St
Ste 290
Thousand Oaks, CA 91360
Phone (805) 497-6979
Interoperability endpoints
- benson1256@alrpc-ca.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Thousand Oaks, CA
- NPI 1932386877
-
dba Agoura Los Robles Podiatry
- Foot & Ankle Surgery Podiatrist
- Agoura Hills, CA
- NPI 1457549933
Sports Medicine
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Robles Hospital & Medical Center
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1508885278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MARIN ST",
"address_2": "SUITE 290",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604236",
"telephone_number": "805-497-6979",
"fax_number": "805-777-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MARIN ST",
"address_2": "SUITE 290",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913604236",
"telephone_number": "805-497-6979",
"fax_number": "805-777-7028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CA",
"license": "E4426",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "W22604A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "W22604",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E44260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
- Anna Benedek, ACSW
- Arnau Benet Cabero, MD
- Christina Anne Benet, NP
- Daniel Sassoon Benhamou, MD
- Jennifer Harvey Benson, R.D.
- Mikaela Bercow
- Berger Bodysattva Chiropractic Corporation (Bodysattva Healing Arts Center)
- Shana E. Berger, DC
- Andrea Ilene Bergholtz, MSN, RN, CHPN
- Bergman Physical Therapy & Movement Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.