Individual provider Active NPI

Erma L Benitez, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1972635282
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G54356 Issued in CA
Practice address
6221 Wilshire Blvd
Suite 220
Los Angeles, CA 90048-5201
Phone
(323) 937-4546
Fax
(323) 937-4573
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G54356 CA Primary

Addresses

Primary practice location

6221 Wilshire Blvd
Suite 220
Los Angeles, CA 90048-5201

Mailing address

6221 Wilshire Blvd
Suite 220
Los Angeles, CA 90048-5201
Phone (323) 937-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140805000487 CA Practitioner - Dermatology 0547487217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M.a. Medical Group, IncGroup PAC ID 9436292448, 2 clinicians
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

1900 S Atlantic Blvd
Suite 5
Monterey Park, CA 91754-6340
Phone (323) 728-2885

7515 Van Nuys Blvd
Van Nuys, CA 91405-1949
Phone (818) 627-3050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54356CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Sep 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Sep 1, 2017 Accepting new patients
County of Los Angeles Current Accepting new patients
M.a. Medical Group, Inc Dermatology CurrentSince Aug 1, 2022 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

1900 S Atlantic Blvd
Ste 5
Monterey Park, CA 91754
Phone (323) 728-2885

9401 Long Beach Blvd
Ste A
South Gate, CA 90280

9401 Long Beach Blvd
South Gate, CA 90280
Phone (323) 567-9782

7515 Van Nuys Blvd
Van Nuys, CA 91405
Phone (818) 627-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erma.benitez.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1972635282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-937-4546",
            "fax_number": "323-937-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD",
            "address_2": "SUITE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485201",
            "telephone_number": "323-937-4546",
            "fax_number": "323-937-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "ERMA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G54356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.