Benedict Marasigan

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95039119 Issued in CA

Practice address

2823 E Bedford Privado
Ontario, CA 91762-7448

Phone

(909) 696-5095

NPI assigned

Apr 3, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1548101447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 E BEDFORD PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627448",
            "telephone_number": "909-696-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 E BEDFORD PRIVADO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917627448",
            "telephone_number": "909-696-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASIGAN",
        "first_name": "BENEDICT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95039119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Manzo
• Brittany Maples
• Justin Maples
• Jordan Shangqian Mar
• Tiffany Mar, DMD
• Carolina Maravilla
• Colleen Elizabeth Maravilla, RPT
• Samantha Maravillo
• Jacob Calvin Marcelo
• Imelda Mares, MASTERS IN SCIENCE

• Primary Care Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.