Individual provider Active NPI

Ana Marcela Benitez, FNP-C

  • Family Nurse Practitioner
  • Pismo Beach, CA
National Provider Identifier
1881499416
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032517 Issued in CA
Practice address
901 Oak Park Blvd Ste 103
Pismo Beach, CA 93449-3409
Phone
(805) 888-4744
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032517 CA Primary

Addresses

Primary practice location

901 Oak Park Blvd Ste 103
Pismo Beach, CA 93449-3409

Mailing address

901 Oak Park Blvd Ste 103
Pismo Beach, CA 93449-3409
Phone (805) 888-4744

Other names 1

  • Ana Marcela Plasencia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spearman MD Inc. CurrentSince Mar 15, 2025 Accepting new patients
Moscardi Physical Therapy, Inc PastSince Nov 14, 2012 Accepting new patients

Locations

880 Oak Park Blvd
Arroyo Grande, CA 93420
Phone (805) 473-8346

880 Oak Park Blvd
Ste 201
Arroyo Grande, CA 93420
Phone (805) 473-8346

901 Oak Park Blvd
Ste 102
Pismo Beach, CA 93449
Phone (805) 481-8272

901 Oak Park Blvd
Ste 103
Pismo Beach, CA 93449
Phone (805) 489-4761

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1881499416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 OAK PARK BLVD STE 103",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493409",
            "telephone_number": "805-888-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OAK PARK BLVD STE 103",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493409",
            "telephone_number": "805-888-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "ANA",
        "middle_name": "MARCELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "PLASENCIA",
            "middle_name": "MARCELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.