Individual provider Active NPI

Stephen Andrew Benson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
National Provider Identifier
1508885278
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4426 Issued in CA
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

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W22604AOtherCAGROUP MEDICARE PIN
W22604OtherCAGROUP MEDICARE PIN
000E44260MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000360 CA Practitioner - Podiatry 2264334317 Reassigns benefits to 1 organization

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
Agoura-Los Robles Podiatry CentersGroup PAC ID 0648344200, 6 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue186
Removal of skin lesions1-10
Removal of nail tissue152
Removal or shaving of skin growth73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agoura-Los Robles Podiatry Centers Foot & Ankle Surgery CurrentSince Apr 1, 2008 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

  • Direct secure messaging: benson1256@alrpc-ca.direct.office.nextgen.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.