EDGAR RODOLFO BENAVIDEZ RN
NPI 1568181022
Nurse Practitioner - Psychiatric/Mental Health in Valencia, CA

Q: What is Edgar Benavidez's NPI number?

The NPI number for Edgar Benavidez is 1568181022. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Q: What is Edgar Benavidez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Benavidez was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 26, 2022PECOS Enrolled

23845 MCBEAN PKWY, VALENCIA, CA 91355(661) 200-2000 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 12, 2026, Aug 26, 2022 (2 updates tracked since 2022).

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About Edgar Rodolfo Benavidez Rn NPPES

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

EDGAR RODOLFO BENAVIDEZ RN (NPI 1568181022) is an individual psychiatric/mental health provider in Valencia, California, licensed in California (95038959) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568181022

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEDGAR RODOLFO BENAVIDEZCredential: RN

Location Address23845 MCBEAN PKWYValencia, CA 91355-2083

Mailing Address43361 Gadsden Ave Apt 330Lancaster, CA 93534-6139 · (661) 537-5932

Phone(661) 200-2000

Sole ProprietorYes

Enumeration DateAugust 26, 2022

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1568181022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95038959

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95213132 (CA)

23845 MCBEAN PKWY, Valencia, CA 91355

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Rodolfo Benavidez Rn 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 91355 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

JOSEPH LEON GREENE RN

Registered Nurse (Emergency)