Individual provider Active NPI

Kristin A Bendikson, M.D.

  • Reproductive Endocrinology Physician
  • Santa Monica, CA
National Provider Identifier
1609081140
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A100029 Issued in CA
Practice address
500 Broadway Ste 7
Santa Monica, CA 90401-2988
Phone
(323) 410-1291
NPI assigned
May 10, 2007
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 231201 NY
Reproductive Endocrinology Physician 207VE0102X DR.0070650 CO
Reproductive Endocrinology Physician 207VE0102X U9405 TX
Reproductive Endocrinology Physician 207VE0102X MD61503155 WA
Reproductive Endocrinology Physician 207VE0102X 69467 AZ
Reproductive Endocrinology Physician 207VE0102X 25101 NV
Reproductive Endocrinology Physician 207VE0102X A100029 CA Primary

Addresses

Primary practice location

500 Broadway Ste 7
Santa Monica, CA 90401-2988

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

102 5th Ave
New York, NY 10011-6902
Phone (347) 778-2542

Other practice location 2

88 Sutter St
San Francisco, CA 94104-4900
Phone (628) 777-7064

Other practice location 3

811 Stewart St
Seattle, WA 98101-1305
Phone (206) 736-5839

Other practice location 4

16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755

Other practice location 5

2501 NE 134th St Ste 100
Vancouver, WA 98686-3027
Phone (360) 535-7590

Other practice location 6

8041 Walnut Hill Ln Ste 870
Dallas, TX 75231-0954
Phone (214) 295-7712

Other practice location 7

100 Colorado St
Austin, TX 78701-4147
Phone (737) 787-7806

Other practice location 8

1111 Uptown Park Blvd Ste 2
Houston, TX 77056-3224
Phone (281) 719-9355

Other practice location 9

220 Josephine St
Denver, CO 80206-4750
Phone (720) 370-5671

Other practice location 10

4150 Regents Park Row Ste 321
LA Jolla, CA 92037-9124
Phone (619) 673-8658

Other practice location 11

1700 N Main St
Walnut Creek, CA 94596-4105
Phone (925) 322-2115

Other practice location 12

4321 Birch St Ste 100
Newport Beach, CA 92660-1940
Phone (949) 432-7438

Other practice location 13

4756 El Camino Real
Los Altos, CA 94022-1330
Phone (650) 445-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69467AZMDReproductive Endocrinology Physician
A100029CAMDReproductive Endocrinology Physician
DR.0070650COMDReproductive Endocrinology Physician
25101NVMDReproductive Endocrinology Physician
231201NYMDReproductive Endocrinology Physician
U9405TXMDReproductive Endocrinology Physician
MD61503155WAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mai Nursing Anesthesia PC PastSince Oct 23, 2022 Accepting new patients
California Fertility Partners Reproductive Endocrinology Past Accepting new patients
Usc Care Medical Group, Inc PastSince Sep 1, 2020 Accepting new patients
Empire Medical Practice, PC Past Accepting new patients
Fahimeh Sasan,D.O., P.C Reproductive Endocrinology PastSince Feb 23, 2020 Accepting new patients
Progenesis Inc PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 6

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1609081140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROADWAY STE 7",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012988",
            "telephone_number": "323-410-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116902",
            "country_code": "US",
            "telephone_number": "347-778-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Sutter St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941044900",
            "country_code": "US",
            "telephone_number": "628-777-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011305",
            "country_code": "US",
            "telephone_number": "206-736-5839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 40th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160113",
            "country_code": "US",
            "telephone_number": "646-751-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 NE 134th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863027",
            "country_code": "US",
            "telephone_number": "360-535-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8041 Walnut Hill Ln Ste 870",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310954",
            "country_code": "US",
            "telephone_number": "214-295-7712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colorado St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787014147",
            "country_code": "US",
            "telephone_number": "737-787-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Uptown Park Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770563224",
            "country_code": "US",
            "telephone_number": "281-719-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Josephine St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064750",
            "country_code": "US",
            "telephone_number": "720-370-5671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Regents Park Row Ste 321",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920379124",
            "country_code": "US",
            "telephone_number": "619-673-8658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964105",
            "country_code": "US",
            "telephone_number": "925-322-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4321 Birch St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601940",
            "country_code": "US",
            "telephone_number": "949-432-7438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4756 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221330",
            "country_code": "US",
            "telephone_number": "650-445-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDIKSON",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "231201",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CO",
            "license": "DR.0070650",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "U9405",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WA",
            "license": "MD61503155",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AZ",
            "license": "69467",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NV",
            "license": "25101",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A100029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.