Individual provider Active NPI

Christienne Benedicto, NP

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1588088215
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000127 Issued in CA
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

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223001540 CA Practitioner - Nurse Practitioner 9830415538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 8, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 8, 2019 Accepting new patients
Samuel Dixon Family Health Center, Inc CurrentSince Dec 6, 2014 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Radadvantage a Professional Corporation PastSince Jan 14, 2018 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.

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

Verify at the official NPI Registry.