Active NPI
Aaron Benjamin Benitez, R.D.H.A.P.
- Dental Hygienist
- Canoga Park, CA
National Provider Identifier
1801944814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 173
- Practice address
- 21001 Covello St
Canoga Park, CA 91303-1403 - Phone
- (818) 825-1389
- Fax
- (323) 443-3904
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 173 | CA | Primary |
Addresses
Primary practice location
21001 Covello St
Canoga Park, CA 91303-1403
Mailing address
21001 Covello St
Canoga Park, CA 91303-1403
Phone (818) 825-1389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z89783-01 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G.R. Tashiro DDS, Inc | Past | Accepting new patients | |
| Patricia D Gordon | Past | Accepting new patients |
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.
-
- Dentist
- Canoga Park, CA
- NPI 1790925535
-
- Dentist
- Canoga Park, CA
- NPI 1992948780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1801944814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21001 COVELLO ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031403",
"telephone_number": "818-825-1389",
"fax_number": "323-443-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21001 COVELLO ST",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031403",
"telephone_number": "818-825-1389",
"fax_number": "323-443-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITEZ",
"first_name": "AARON",
"middle_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "R.D.H.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z89783-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.