MR. BENJAMIN GERENDASH (NPI# 1871904151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871904151 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN GERENDASH |
| Credential | NP |
| Practice Address |
1450 S Beverly Dr Apt 306 Los Angeles CA 90035-3073 |
| Practice Telephone | 6195490737 |
| Mailing Telephone | 6195490737 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
774743 | CA | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95001740 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1450 S BEVERLY DR APT 306 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90035-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
| 1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
| 1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
| 1972992949 | Tali Shams | Pharmacist | 1108 South Lapeer Drive, Los Angeles, CA 90035 | 2015-01-14 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
| Find all providers in zip 90035 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1679123426 | Joanne Lan Yun Yang | Nurse Practitioner | 1540 Alcazar St Ste 215, Los Angeles, CA 90089-1029 | 2019-09-13 |
| 1265085773 | Linda M Kim | Nurse Practitioner | 1123 S Windsor Blvd, Los Angeles, CA 90019-3158 | 2019-07-23 |
| 1780157032 | Ana Valentinova Tchicaya | Nurse Practitioner | 300 Stein Plaza, Los Angeles, CA 90009 | 2019-01-09 |
| 1518435288 | Sariya Chayutipun | Nurse Practitioner | 2955 Veteran Ave, Los Angeles, CA 90064-9006 | 2018-11-11 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| 1427531490 | Izabela Harutyunyan | Nurse Practitioner | 127 S San Vicente Blvd Ste A3629, Los Angeles, CA 90048-3311 | 2018-09-14 |
| 1265923155 | Rose Moss | Nurse Practitioner | Ronald Regan Ucla Medical Center 757 Westwood Plaza, Los Angeles, CA 90095-1003 | 2018-05-25 |
| 1821514811 | Simran Grewal | Nurse Practitioner | 127 S San Vicente Blvd Ste A6100, Los Angeles, CA 90048-3311 | 2017-08-21 |
| 1902320450 | Arielle Donner | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 1010, Los Angeles, CA 90045-3808 | 2017-07-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90035 |
Please comment or provide details below to improve the information on MR. BENJAMIN GERENDASH.
| 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.