1. Home
  2. Directory
  3. California
  4. Mission Viejo
  5. Obstetrics Gynecology
  6. NPI Profile

JERRY S BENZL MD A CALIFORNIA CORPORATION
NPI 1679749428
Obstetrics & Gynecology in Mission Viejo, CA

Active since May 01, 2008
26902 OSO PKWY, 180, MISSION VIEJO, CA 92691(949) 348-1515(949) 348-1512 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerry S Benzl Md A California Corporation NPPES

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

JERRY S BENZL MD A CALIFORNIA CORPORATION (NPI 1679749428) is a healthcare organization registered as an obstetrics & gynecology in Mission Viejo, California and active in the NPI registry since May 2008. The organization lists Jerry S Benzl, President, as its authorized official.

NPPES Registry Identity

NPI1679749428
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJERRY S BENZL MD A CALIFORNIA CORPORATION
Location Address26902 OSO PKWY, 180Mission Viejo, CA 92691-5815
Mailing Address26902 Oso Pkwy, 180Mission Viejo, CA 92691-5815 · (949) 348-1515 · Fax (949) 348-1512
Phone(949) 348-1515
Fax(949) 348-1512
Organization SubpartNo
Authorized OfficialJerry S BenzlPresident · (949) 348-1515
Enumeration DateMay 1, 2008
Last NPPES UpdateMarch 20, 2012
✔ NPI 1679749428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A34016
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
26902 OSO PKWY, Mission Viejo, CA 92691
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA27332CA
Medicare OSCAR/certificationA27332CA

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry S Benzl Md A California Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120321000847Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry S Benzl MD A California Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Benzl, MD
Obstetrics/Gynecology
NPI 1740398148
26902 OSO PARKWAY #180
Mission Viejo, CA 92691
(949) 348-1515
✔ PECOS✔ Accepts MedicareSame address

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 Jerry S Benzl MD A California Corporation's NPI number?

The NPI number for Jerry S Benzl MD A California Corporation is 1679749428. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Jerry S Benzl MD A California Corporation located?

Jerry S Benzl MD A California Corporation is located at 26902 Oso Pkwy 180, Mission Viejo, CA 92691. The listed phone number is (949) 348-1515.

What is Jerry S Benzl MD A California Corporation's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jerry S Benzl MD A California Corporation enrolled in Medicare?

Yes. Jerry S Benzl MD A California Corporation is registered in the Medicare PECOS enrollment system.

When is Jerry S Benzl MD A California Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jerry S Benzl MD A California Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Jerry S Benzl MD A California Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry S Benzl MD A California Corporation was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.