DR. JACQUELINE A BENJAMIN (NPI# 1699091702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699091702 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE A BENJAMIN |
| Credential | M.D. |
| Practice Address |
1500 San Pablo St Los Angeles CA 90033-5313 |
| Practice Telephone | 3234429621 |
| Mailing Telephone | 3234429621 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
12173 | NV | Allopathic & Osteopathic Physicians |
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
A77777 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508393141 | Jacqueline Benjamin | Pharmacist | 9901 Rancho Caballo Dr, Sunland, CA 91040-1547 | 2017-05-14 |
| Street Address |
1500 SAN PABLO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416493 | Claire L Templeman | Obstetrics & Gynecology | 1500 San Pablo St, 3rd Floor, Los Angeles, CA 90033-5313 | 2005-06-13 |
| 1912508995 | Marissa Azucena Barraza | Registered Nurse | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-11-05 |
| 1013514199 | Keck Medical Center of Usc | General Acute Care Hospital | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-10-02 |
| 1750988770 | Keck Medical Center of Usc | Rehabilitation Unit | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-10-02 |
| 1730794314 | Deborah Noghreyan | Physician Assistant | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-09-10 |
| 1902410194 | Kimberly Elizabeth Sanchez | Clinical Nurse Specialist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-09-03 |
| 1023628120 | Allyn M Edano | Nurse Practitioner | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-08-04 |
| 1992314660 | Nadia Ariqat | Physician Assistant | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-07-28 |
| 1831707504 | Regina Ongsing Moss | Nurse Practitioner | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-07-20 |
| 1700402112 | Brittney Anne Bucholtz | Nurse Anesthetist, Certified Registered | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2020-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247057 | Shino Magaki | Pathology | 10833 Le Conte Ave Rm 13-145, Los Angeles, CA 90095-2804 | 2011-04-16 |
| 1841844149 | Zesheng Chen | Pathology | 760 Westwood Plz, Los Angeles, CA 90024-5055 | 2019-07-25 |
| 1184069825 | Anna John Mathew | Pathology | 1450 San Pablo Street, 2nd Floor Lab, Los Angeles, CA 90033-4500 | 2013-05-08 |
| 1376784678 | Negar Khanlou | Pathology | 10833 Leconte Ave, Box 951732, A7-149 Chs Box 116, Los Angeles, CA 90095-0001 | 2009-03-16 |
| 1568491256 | Harry V Vinters | Pathology | 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095-3075 | 2006-07-03 |
| 1053392365 | Serguei Ivanovich Bannykh | Pathology | 8700 Beverly Blvd, Suite 8730, Los Angeles, CA 90048 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967063 | Healthy Mind & Braiin Center | Pathology | 27448 Outrigger Lane, Helendale, CA 92342 | 2020-03-13 |
| 1659857753 | Romain Cayrol | Pathology | 300 Pasteur Dr # R-241, Stanford, CA 94305-2200 | 2018-07-12 |
| 1295053718 | Jennifer Ziskin | Pathology | 901 Marshall St Bldg 4th, Redwood City, CA 94063-2026 | 2010-05-07 |
| 1023330099 | Meredith Halks Miller | Pathology | 800 Saginaw Dr, Redwood City, CA 94063-4740 | 2010-02-18 |
| 1740519529 | Byung H. Choi | Pathology | 49 Mirador, Irvine, CA 92612-2979 | 2009-12-08 |
| 1295778348 | Henry C Powell | Pathology | 200 West Arbor Drive, Mc 8320, Ucsd Deparment of Pathology, San Diego, CA 92103 | 2006-06-14 |
| 1518401660 | Lea Tenenholz Grinberg-korczyn | Pathology | 675 Nelson Rising Ln, Room 211b, San Francisco, CA 94143-0003 | 2016-12-08 |
| 1548620404 | Mari Perez-rosendahl | Pathology | 101 The City Dr S, Building 1, 3rd Floor, Orange, CA 92868 | 2016-03-03 |
| 1518352640 | Jonathan Lynn Lavezo | Pathology | 300 Pasteur Dr, Department of Pathology, L235, Stanford, CA 94305-2200 | 2015-04-06 |
| 1295171908 | Peyman Zaman Samghabadi | Pathology | 300 Pasteur Dr, Lane Blvd L235, Palo Alto, CA 94305 | 2013-05-21 |
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| City | LOS ANGELES |
| Zip Code | 90033 |
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| 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.