Active NPI
Christienne Benedicto, NP
- Family Nurse Practitioner
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000127
- Practice address
- 1800 W Empire Ave
Burbank, CA 91504-3403 - Phone
- (818) 847-8609
- NPI assigned
- Feb 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95000127 | CA | Primary |
Addresses
Primary practice location
1800 W Empire Ave
Burbank, CA 91504-3403
Mailing address
1800 W Empire Ave
Burbank, CA 91504-3403
Phone (818) 847-8609
Other names 1
- Ma.Christienne Benedicto
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Samuel Dixon Family Health Center, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Radadvantage a Professional Corporation | Past | Accepting new patients |
Locations
1800 W Empire Ave
Burbank, CA 91504
Phone (818) 238-0132
2626 Colorado Blvd
Los Angeles, CA 90041
Phone (323) 258-5101
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
30257 San Martinez Rd
Val Verde, CA 91384
Phone (661) 257-4008
25115 Avenue Stanford
#A104
Valencia, CA 91355
Phone (661) 257-2339
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Val Verde, CA
- NPI 1154402675
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1376719666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1588088215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W EMPIRE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043403",
"telephone_number": "818-847-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W EMPIRE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043403",
"telephone_number": "818-847-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEDICTO",
"first_name": "CHRISTIENNE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000127",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "carequality",
"affiliationName": "SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "c-cda",
"address_1": "2626 Colorado Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900411070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MA.CHRISTIENNE",
"last_name": "BENEDICTO",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 5, 2025; 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.