BENEVOLENCE INDUSTRIES INCORPORATED
NPI 1578763207
Clinic/Center - Federally Qualified Health Center (FQHC) in Los Angeles, CA
About Benevolence Industries Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENEVOLENCE INDUSTRIES INCORPORATED (NPI 1578763207) is a healthcare organization registered as a federally qualified health center (fqhc) in Los Angeles, California and active in the NPI registry since July 2007. The organization lists Kwabena Obeng, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benevolence Industries Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Benevolence Industries Incorporated, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Benevolence Industries Incorporated's NPI number?
The NPI number for Benevolence Industries Incorporated is 1578763207. It was assigned to this organization in the NPPES registry on July 20, 2007.
Where is Benevolence Industries Incorporated located?
Benevolence Industries Incorporated is located at 3631 Crenshaw Blvd 109, Los Angeles, CA 90016. The listed phone number is (323) 732-0100.
What is Benevolence Industries Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Benevolence Industries Incorporated enrolled in Medicare?
Yes. Benevolence Industries Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Benevolence Industries Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Benevolence Industries Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Internal Medicine (2) and Obstetrics/Gynecology (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Benevolence Industries Incorporated accept?
Health plans from UnitedHealthcare list Benevolence Industries Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Benevolence Industries Incorporated was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Benevolence Industries Incorporated · NPI 1578763207
Federally Qualified Health Center (FQHC) organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1578763207 (Entity type: Organization)
- **Enumerated:** July 20, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Crenshaw Community Clinic)
- **Authorized official:** Kwabena Obeng, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 3631 CRENSHAW BLVD, 109, Los Angeles, CA 90016-4869
- **Phone:** (323) 732-0100 · **Fax:** (323) 732-0104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (2), Obstetrics/Gynecology (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2021
- **Other identifiers:** Medicaid 1578763207 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578763207) · Data from the CMS NPPES public registry.