Elizabeth Isabella Benitez, is a
Pediatrics based in Rancho Cucamonga, California. Elizabeth Isabella Benitez is licensed to practice in California (license number 1598748410) and her current practice location is
11799 Sebastian Way, Rancho Cucamonga, California. She can be reached at her office (for appointments etc.) via phone at
(909) 353-7547.
NPI number for Elizabeth Isabella Benitez is 1124900550 and her current mailing address is 5696 Sharon Way, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124900550.
Healthcare Provider's Profile
| Full Name | Elizabeth Isabella Benitez |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 11799 Sebastian Way, Rancho Cucamonga, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124900550
- Provider Enumeration Date: 07/25/2025
- Last Update Date: 07/25/2025
Medical Identifiers
Medical identifiers for Elizabeth Isabella Benitez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124900550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 8860 (California) | Secondary |
| 208000000X | Pediatrics | 1598748410 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Isabella Benitez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Elizabeth Isabella Benitez, 5696 Sharon Way, Riverside, CA 92509-5542 Ph: (909) 530-7063 | Elizabeth Isabella Benitez, 11799 Sebastian Way, Rancho Cucamonga, CA 91730-0708 Ph: (909) 353-7547 |
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