DOMINIQUE BENJAMIN RN, FNP
NPI 1790220879
Nurse Practitioner - Family in Los Angeles, CA
About Dominique Benjamin Rn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINIQUE BENJAMIN RN, FNP (NPI 1790220879) is an individual family provider in Los Angeles, California, licensed in California (95004365) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dominique Benjamin Rn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Dominique Benjamin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
Valencia, CA 91355
- Reassigned Medicare billing, California enrollment
- 684 clinicians in this Medicare group
Newport Beach, CA 92660
- Reassigned Medicare billing, California enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dominique Benjamin's NPI number?
The NPI number for Dominique Benjamin is 1790220879. It was assigned to this individual provider in the NPPES registry on December 28, 2016.
Where is Dominique Benjamin located?
Dominique Benjamin practices at 11795 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (888) 227-3312.
What is Dominique Benjamin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dominique Benjamin enrolled in Medicare?
Yes. Dominique Benjamin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dominique Benjamin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Benjamin reassigns Medicare benefits to 3 organizations: Healthcare Partners Affiliates Medical Group (Los Angeles, CA), Providence Facey Medical Foundation (Valencia, CA) and Island Dermatology, Inc (Newport Beach, CA). Each 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 Dominique Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dominique Benjamin was last updated on July 7, 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.
# Dominique Benjamin, RN, FNP · NPI 1790220879
Family physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 28, 2016.
## Identity
- **NPI:** 1790220879 (Entity type: Individual)
- **Enumerated:** December 28, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95004365 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11795 W OLYMPIC BLVD, Los Angeles, CA 90064-1211
- **Phone:** (888) 227-3312
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Healthcare Partners Affiliates Medical Group (NPI 1659312593, Los Angeles, CA); Providence Facey Medical Foundation (NPI 1710031588, Valencia, CA); Island Dermatology, Inc (NPI 1508815556, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790220879) · Data from the CMS NPPES public registry.