CARISSA BENCITO (NPI# 1205325750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205325750 |
| Entity Type | Individual |
| Full Name | CARISSA BENCITO |
| Practice Address |
5417 York Blvd Los Angeles CA 90042-2401 |
| Practice Telephone | 6268184407 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95009015 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5417 YORK BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265686117 | York Glen Medical Clinic, Inc | Family Medicine | 5417 York Blvd, Los Angeles, CA 90042-2401 | 2008-11-05 |
| 1437784360 | York Family Medical Clinic Inc | Clinic/Center | 5417 York Blvd, Los Angeles, CA 90042-2401 | 2020-03-11 |
| 1083149884 | Rhoda Lorica | Nurse Practitioner | 5417 York Blvd, Los Angeles, CA 90042 | 2017-04-29 |
| 1649202433 | Ador A Bustamante | Family Medicine | 5417 York Blvd, Los Angeles, CA 90042-2401 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436433 | Violet C Mayers | Nurse Practitioner | 5707 10th Ave, Los Angeles, CA 90043-2527 | 2019-09-15 |
| 1477109957 | Rosie Vasquez | Nurse Practitioner | 241 N Figueroa St Ste 306-d, Los Angeles, CA 90012-2601 | 2019-08-12 |
| 1669946554 | Jean E Hensley | Nurse Practitioner | 4154 Charlene Dr, Los Angeles, CA 90043-1553 | 2019-01-14 |
| 1396218236 | Melissa Kaye Tauer | Nurse Practitioner | 5901 W Olympic Blvd Ste 200, Los Angeles, CA 90036-4663 | 2019-01-03 |
| 1497299697 | Hau Cheng Yau | Nurse Practitioner | 1520 San Pablo St Fl 1, Los Angeles, CA 90033 | 2016-12-07 |
| 1417005695 | Lorna M Johnson | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| 1255381901 | Lisa Li Hsieh | Nurse Practitioner | 819 W Cesar E Chavez Ave, Los Angeles, CA 90012-2130 | 2006-05-12 |
| 1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
| 1881202190 | Rumi Sato | Nurse Practitioner | 441 Bauchet St, Los Angeles, CA 90012-2906 | 2020-07-22 |
| 1609496223 | M Jessica Graves | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-04-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90042 |
Please comment or provide details below to improve the information on CARISSA BENCITO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.