Jerry S Benzl MD a California Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A34016 Issued in CA

Legal business name

JERRY S BENZL MD A CALIFORNIA CORPORATION

Practice address

26902 Oso Pkwy
180
Mission Viejo, CA 92691-5815

Phone

(949) 348-1515

Fax

(949) 348-1512

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerry S Benzl, MDNPI 1740398148

Title

President

Phone

(949) 348-1515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry S Benzl, MD

  • Obstetrics & Gynecology Physician
  • Mission Viejo, CA
  • NPI 1740398148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1679749428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26902 OSO PKWY",
            "address_2": "180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-348-1515",
            "fax_number": "949-348-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26902 OSO PKWY",
            "address_2": "180",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-348-1515",
            "fax_number": "949-348-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY S BENZL MD A CALIFORNIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "BENZL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-348-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A34016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathearine Jenkins Hall, PHD
• Christina Jenkins, MD
• Stephen Woodrow Jenkins, M.D.
• Diana Soyoung Jeon, PHARM.D.
• Jung Jeon
• Eveline Jho, CPNP-PC
• Fen Jiang, MD
• Jill R. Berlin, DPM Inc
• Jose Jimenez
• JJ Koval, DDS, PC

• Obstetrics & Gynecology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.