NICOLE SHERI BENCITO (NPI# 1699289629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699289629 |
| Entity Type | Individual |
| Full Name | NICOLE SHERI BENCITO |
| Practice Address |
7212 Orangethorpe Ave Ste 9a Buena Park CA 90621 |
| Mailing Address |
7212 Orangethorpe Ave Ste 9a Buena Park CA 90621-4668 |
| Practice Telephone | 7145036550 |
| Mailing Telephone | 7145036550 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95043640 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95010939 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 S. Seventh Ave., La Puente, CA 91744 | 6269618971 | |
| 1436 Goodrich Blvd., Commerce, CA 90022 | 3237251337 |
| Street Address |
7212 ORANGETHORPE AVE STE 9A |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125693 | Korean Community Services Inc. | Community/Behavioral Health | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2006-10-06 |
| 1639734353 | Heo Choi | Case Manager/Care Coordinator | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2019-05-08 |
| 1811461338 | Continuum Health and Medical Centers Inc | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2019-01-17 | |
| 1689159568 | Haena Yu So | Dental Assistant | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2018-09-26 |
| 1508352717 | Ye Rin Lee | Case Manager/Care Coordinator | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2018-07-11 |
| 1437696614 | Korean Community Services Inc. | Community/Behavioral Health | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2017-01-25 |
| 1609238898 | Jane Hong | Nurse Practitioner | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2016-03-25 |
| 1306218268 | Kcsinc | Community/Behavioral Health | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2015-10-30 |
| 1215309109 | Mariegrace Mero | Registered Nurse | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2015-10-30 |
| 1174907158 | Namju Seong | Nurse Practitioner | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174907158 | Namju Seong | Nurse Practitioner | 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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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.