Individual provider Active NPI

Michael S Benjamin, M.D.

  • Hematology & Oncology Physician
  • West Hills, CA
National Provider Identifier
1619933132
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A86460 Issued in CA
Practice address
7325 Medical Center Dr Ste 301
West Hills, CA 91307-1928
Phone
(818) 570-2134
Fax
(818) 835-0485
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A86460 CA Primary

Addresses

Primary practice location

7325 Medical Center Dr Ste 301
West Hills, CA 91307-1928

Mailing address

7325 Medical Center Dr Ste 301
West Hills, CA 91307-1928
Phone (818) 570-2134

Other practice location 1

10630 Sepulveda Blvd # 202
Mission Hills, CA 91345-1938
Phone (747) 999-5690

Other practice location 2

3605 Alamo St Ste 103
Simi Valley, CA 93063-2186
Phone (805) 517-4804

Other identifiers 9

IdentifierTypeStateIssuer
00A864600MedicaidCA
ZZZ31206ZOtherCABLUE SHIELD
ZZZ27529ZOtherCABLUE SHIELD
ZZZ47615ZOtherCABLUE SHIELD
GR0044501MedicaidCA
W11063OtherMEDICARE ID GROUP
W11063AOtherMEDICARE ID GROUP
GR0044500MedicaidCA
ZZZ70294ZMedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001593 CA Practitioner - Hematology/OncologyPractitioner - Infectious Disease 9234115106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Infectious Disease
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10630 Sepulveda Blvd
Suite 202
Mission Hills, CA 91345-1938
Phone (747) 999-5690

3605 Alamo St
Suite 103
Simi Valley, CA 93063-2186
Phone (805) 517-4804

7325 Medical Ctr Dr
Suite 301
West Hills, CA 91307-1928
Phone (818) 570-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86460CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients
West Hills Hospital Past Accepting new patients
Michael Benjamin MD, Inc Hematology & Oncology Past Accepting new patients
Michael Benjmain, M.D., Inc. Hematology & Oncology Past Accepting new patients
Michael Benjmain, M.D., Inc. Hematology & Oncology Past Accepting new patients
Valley Hematology Oncology Medical Group Hematology & Oncology Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Omid S. Shaye, M.D., a Medical Corporation Hematology & Oncology PastSince May 1, 2008 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mbenjamin1293748@direct.uclahealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1619933132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR STE 301",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071928",
            "telephone_number": "818-570-2134",
            "fax_number": "818-835-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR STE 301",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071928",
            "telephone_number": "818-570-2134",
            "fax_number": "818-835-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10630 Sepulveda Blvd # 202",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451938",
            "country_code": "US",
            "telephone_number": "747-999-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Alamo St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930632186",
            "country_code": "US",
            "telephone_number": "805-517-4804",
            "fax_number": "805-517-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A86460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A864600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ31206Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ27529Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ47615Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0044501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID GROUP",
            "identifier": "W11063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID GROUP",
            "identifier": "W11063A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0044500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70294Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.