Lauren Alexandria Bennallack, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20A14245 Issued in CA

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 580-1000

NPI assigned

May 5, 2014

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Alexandria Takehana Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX, HI3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency Medicine

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pearsall Emergency Medicine Associates, PAGroup PAC ID 1557623147, 45 clinicians

Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• The Hospitals of Providence Horizon City Campus Hospital, Horizon City, TX, CCN 670124

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment Care Compare group NPD
• Pearsall Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Horizon City, TX
  • NPI 1104326263
  Medicare reassignment Care Compare group
• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1134761331
  Medicare reassignment NPD
• Hawaii Emergency Physicians Associated Inc

  dba HEPA, Inc.

  • Emergency Medicine Physician
  • Kailua, HI
  • NPI 1801843198
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Moreno Valley, CA
  • NPI 1235510264
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Santa Maria, CA
  • NPI 1962030205
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1669014817
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  dba The Hospitals of Providence Horizon City Campus

  • General Acute Care Hospital
  • Horizon City, TX
  • NPI 1003344334
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  dba The Hospitals of Providence Emergency Room Gateway

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1275473340
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  dba The Hospitals of Providence Emergency Room Montwood

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1841843455
  Care Compare affiliation
• HCN Ep Horizon City, LLC

  dba The Hospitals of Providence Northeast Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1861994808
  Care Compare affiliation

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1902216468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 White Feather Rd",
            "address_purpose": "LOCATION",
            "city": "Joshua Tree",
            "state": "CA",
            "postal_code": "922526607",
            "country_code": "US",
            "telephone_number": "760-366-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNALLACK",
        "first_name": "LAUREN",
        "middle_name": "ALEXANDRIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S3632",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A14245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "TAKEHANA",
            "middle_name": "ALEXANDRIA",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Anthony Benavidez, PA
• Medel Bencito Jr.
• Helen Benedicto
• Daniel Vincente Benitez, LCSW 100120
• Juliana Benitez
• Ok Bensley
• Jordan Lee Bentley, SRNA
• Dan'L Benton
• Darren L Bergey, M.D.
• Marc Anthony Bernardo, DMD

• Emergency Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.