Active NPI
Cynthia Joanne Benedicktus
- Acute Care Nurse Practitioner
- Irvine, CA
National Provider Identifier
1558077263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95024136
- Practice address
- 13 Hawthorn
Irvine, CA 92612-2331 - Phone
- (310) 803-7233
- NPI assigned
- Jan 26, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 761324 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95024136 | CA | Primary |
Addresses
Primary practice location
13 Hawthorn
Irvine, CA 92612-2331
Mailing address
13 Hawthorn
Irvine, CA 92612-2331
Phone (310) 803-7233
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 761324 | CA | MD | Critical Care Medicine Registered Nurse |
| 95024136 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Current | Accepting new patients |
Locations
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
Interoperability endpoints
- cbenedicktus1145968@direct.llu.edu
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1558077263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 HAWTHORN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122331",
"telephone_number": "310-803-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 HAWTHORN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122331",
"telephone_number": "310-803-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICKTUS",
"first_name": "CYNTHIA",
"middle_name": "JOANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "761324",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95024136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.