DR. BENJAMIN FAIR STORK DO, MPH
NPI 1295176626
Preventive Medicine - Occupational Medicine in El Segundo, CA

Q: What is Benjamin Stork's NPI number?

The NPI number for Benjamin Stork is 1295176626. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Q: What is Benjamin Stork's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Stork was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2013PECOS Enrolled

483 N AVIATION BLVD, EL SEGUNDO, CA 90245(310) 653-2873 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Jul 23, 2024, Jul 16, 2024 and 2 more (5 updates tracked since 2017).

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About Dr. Benjamin Fair Stork Do, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN FAIR STORK DO, MPH (NPI 1295176626) is an individual occupational medicine provider in El Segundo, California, licensed in Indiana (02004570A) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295176626

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameDR. BENJAMIN FAIR STORKCredential: DO, MPH

Location Address483 N AVIATION BLVDEl Segundo, CA 90245-2808

Mailing Address483 N Aviation BlvdEl Segundo, CA 90245-2808 · (310) 653-2873

Phone(310) 653-2873

Sole ProprietorNo

Enumeration DateJuly 15, 2013

Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1295176626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in IN · 02004570A

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 02004570A (IN)

483 N AVIATION BLVD, El Segundo, CA 90245

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Other Identifiers 1

Other02004570AIN · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Fair Stork Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADAM GEORGE HENDRIKSEN IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-2873

CHAD ROUNDS PHARM.D.

Pharmacist

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-6548

CHEYENNE PATEL PA-C

Physician Assistant

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-2873

DR. SYED G MOHIUDDIN MD

Pediatrics

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-2873

MS. LISA KENDRICK RON

Dietitian, Registered

483 N AVIATION BLVD, 61 MEDICAL SQUADRON LAAFB
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-6736

MOISES J PEREZ DO

Family Medicine

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-6437

PATRICK EDGECOMB

Physical Therapist

483 N AVIATION BLVD, BLDG 210
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-6878

DUKE ROMEO SALVADOR PA

Physician Assistant

483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Los Angeles County (310) 653-2873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Stork's NPI number?

The NPI number for Benjamin Stork is 1295176626. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Benjamin Stork located?

Benjamin Stork practices at 483 N Aviation Blvd, El Segundo, CA 90245. The listed phone number is (310) 653-2873.

What is Benjamin Stork's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Benjamin Stork enrolled in Medicare?

Yes. Benjamin Stork is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Stork was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.