DOMINIQUE BENJAMIN RN, FNP
NPI 1790220879
Nurse Practitioner - Family in Los Angeles, CA

Active since December 28, 2016PECOS EnrolledAccepts Medicare Assignment
11795 W OLYMPIC BLVD, LOS ANGELES, CA 90064(888) 227-3312 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2021, Dec 28, 2016 (2 updates tracked since 2016).

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

NPI1790220879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE BENJAMINCredential: RN, FNP
Location Address11795 W OLYMPIC BLVDLos Angeles, CA 90064-1211
Mailing Address11795 W Olympic BlvdLos Angeles, CA 90064-1211 · (888) 227-3312
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 28, 2016
Last NPPES UpdateJuly 7, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1790220879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95004365
Also ListedRegistered NurseTaxonomy 163W00000X · License 95044219 (CA)
11795 W OLYMPIC BLVD, Los Angeles, CA 90064

Secondary Practice Location 1

Location 13565 Del Amo BlvdTorrance, CA 90503-1637 · Phone (310) 354-4200

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2668757295
PECOS Enrollment IDI20170322002864
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

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.

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 5

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

Pharmacist
11795 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Pharmacist
11795 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Pharmacist
11795 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Pharmacy
11795 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Pharmacist
11795 W OLYMPIC BLVD
LOS ANGELES, CA 90064

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.

When was this NPI record last updated?

The NPPES record for Dominique Benjamin was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.