Individual provider Active NPI

Benedict Terence

  • Acute Care Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1689476178
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95036164 Issued in CA
Practice address
401 S la Brea Ave
Inglewood, CA 90301-2321
Phone
(310) 275-7575
NPI assigned
Mar 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95036164 CA Primary

Addresses

Primary practice location

401 S la Brea Ave
Inglewood, CA 90301-2321

Mailing address

1541 Willow Ave
La Puente, CA 91746-1144
Phone (626) 782-8315

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113000776 CA Practitioner - Nurse Practitioner 0749771103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Lung Center Medical Group Inc.Group PAC ID 4082508197, 8 clinicians
Advanced Hematology Oncology Medical Group IncGroup PAC ID 3779840459, 8 clinicians

Practice addresses (Care Compare)

401 S la Brea Ave
Inglewood, CA 90301-2321
Phone (310) 275-7575

6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5223
Phone (323) 965-9995

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • Kaiser Foundation Hospital - West la Hospital, Los Angeles, CA, CCN 050561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036164CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology Oncology Medical Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Advanced Lung Center Medical Group Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

401 S La Brea Ave
Inglewood, CA 90301
Phone (310) 275-7575

6221 Wilshire Blvd
Ste 504
Los Angeles, CA 90048
Phone (323) 965-9995

Organizations & group practices 2

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 6

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": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1689476178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 WILLOW AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917461144",
            "telephone_number": "626-782-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903012321",
            "telephone_number": "310-275-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERENCE",
        "first_name": "BENEDICT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95036164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.