Organization Active NPI

Michael Benjamin MD Inc

  • Hematology & Oncology Physician
  • West Hills, CA
National Provider Identifier
1649319310
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A86460 Issued in CA
Legal business name
MICHAEL BENJAMIN MD INC
Practice address
7325 Medical Center Dr
Suite 201
West Hills, CA 91307-1925
Phone
(818) 570-2134
Fax
(818) 835-0485
NPI assigned
Feb 6, 2007
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Michael Benjamin, MDNPI 1619933132
Title
Owner President
Phone
(818) 570-2134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7325 Medical Center Dr
Suite 201
West Hills, CA 91307-1925

Mailing address

6520 Platt Ave
#704
West Hills, CA 91307-3218
Phone (818) 570-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000408 CA Part B Supplier - Clinic/Group Practice 6305848185 Receives reassigned benefits from 2 practitioners
Practice locations: Mission Hills, CA; Simi Valley, CA; West Hills, CA

National Provider Directory

National Provider Directory
Tax ID family
Michael Benjamin MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2950 Sycamore Dr
Ste 393
Simi Valley, CA 93065
Phone (818) 570-2134

6520 Platt Ave
#687
West Hills, CA 91307

6520 Platt Ave
#704
West Hills, CA 91307

7325 Medical Center Dr
Ste 201
West Hills, CA 91307
Phone (818) 570-2134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1649319310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 PLATT AVE",
            "address_2": "#704",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073218",
            "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",
            "address_2": "SUITE 201",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-570-2134",
            "fax_number": "818-835-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BENJAMIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "818-570-2134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A86460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.