Individual provider Active NPI

Tehilla Solamit Benabou

  • Medical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1790419299
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
9947 Young Dr Apt 9947 1/2
Beverly Hills, CA 90212-3629
Phone
(310) 756-5119
NPI assigned
Jul 12, 2022
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

9947 Young Dr Apt 9947 1/2
Beverly Hills, CA 90212-3629

Mailing address

9947 Young Dr Apt 9947 1/2
Beverly Hills, CA 90212-3629
Phone (310) 756-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1790419299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9947 YOUNG DR APT 9947 1/2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123629",
            "telephone_number": "310-756-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9947 YOUNG DR APT 9947 1/2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123629",
            "telephone_number": "310-756-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENABOU",
        "first_name": "TEHILLA",
        "middle_name": "SOLAMIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.