Evagrio Pagkaliwangan Bencito, NP

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

17801 Issued in CA

Practice address

1000 W Carson St
Carson, CA 90810-1408

Phone

(310) 222-3528

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1992965891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 BRENTON AVE APT E",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622063",
            "telephone_number": "310-639-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "908101408",
            "telephone_number": "310-222-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCITO",
        "first_name": "EVAGRIO",
        "middle_name": "PAGKALIWANGAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CA",
            "license": "17801",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "565369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Julia Becerra
• Benjamin Becker
• Behavioral Health Services, Inc. (BHS Carson Health Center)
• Alexander Cid Bello, D.C.
• Kimberly Deguzman Ben, OTD, OTR/L
• Zita Chidimma Benjamin, NP
• Kevin Bennett
• Lorilynn Ann Bennett
• Rebecca Ann Bennett
• Ryan Joshua Bentick

• Acute Care Clinical Nurse Specialist in Carson, CA
• Providers in Carson, CA by specialty
• Acute Care Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.