Ryan Benedicto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004811 Issued in CA

Practice address

27022 Mountain Willow LN
Canyon Country, CA 91387-3991

Phone

(818) 653-0284

NPI assigned

Aug 23, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Northridge, CA
  • NPI 1013409036
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1629523394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27022 MOUNTAIN WILLOW LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873991",
            "telephone_number": "818-653-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27022 MOUNTAIN WILLOW LN",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873991",
            "telephone_number": "818-653-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICTO",
        "first_name": "RYAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bedassian, D.C.
• Marion Behrend, MFT
• Sam Bekhit
• Adriana Mercedes Benamor, LCSW
• Beneda Adhc
• Arquimedes Jose Betancourt, PHARMACIST
• Beyond the Box Therapy
• Robert Bitner, RCP, CRTT
• Mary Bizzle, RD.
• Krystal Janae Blunt, LVN

• Family Nurse Practitioner in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.

Verify at the official NPI Registry.