Ben B. Shenassa, M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A76062 Issued in CA

Legal business name

BEN B. SHENASSA, M.D. INC.

Practice address

2750 W Broadway
Los Angeles, CA 90041-1050

Phone

(323) 543-4250

Fax

(323) 543-4255

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Behnam Ben Shenassa, M.D.NPI 1134229966

Title

Incorporator

Phone

(323) 543-4250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCGADA

Practitioners 2

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

• Behnam Ben Shenassa, M.D.

  • Urology Physician
  • Los Angeles, CA
  • NPI 1134229966
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Khoa Nguyen, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1821147224
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1760533426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W BROADWAY",
            "city": "EAGLE ROCK",
            "state": "CA",
            "postal_code": "900411050",
            "telephone_number": "323-543-4250",
            "fax_number": "323-543-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411050",
            "telephone_number": "323-543-4250",
            "fax_number": "323-543-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN B. SHENASSA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SHENASSA",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "323-543-4250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A76062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Beltran
• Veronica Beltran
• Marvin Eric Belzer, MD
• Todd Bemis
• Doron Ben Avi, MD
• Ben Cao Tang Acupuncture Herbs Center
• Ben Shamoiel Chiropractic Inc
• Anat Ben Shlomo, M.D.
• Ron Ben-Ari, M.D.
• Lucinda Lee Ben-Avi, M.D.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.