| Carissa Bencito, NP | |
| 
					11333 Sepulveda Blvd, Mission Hills, CA 91345-1116  | |
| (818) 869-7200 | |
| (818) 898-1808 | 
| Full Name | Carissa Bencito | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 11333 Sepulveda Blvd, Mission Hills, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205325750 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95009015 (California) | Primary | 
| Entity Name | Scct Medical Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952878795 PECOS PAC ID: 4183978026 Enrollment ID: O20181113002226  | 
| Entity Name | Henry Mayo Newhall Clinics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306498829 PECOS PAC ID: 7911236047 Enrollment ID: O20190913002662  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carissa Bencito, NP Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559  | Carissa Bencito, NP 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 869-7200  | 
Elizabeth Cattell, R.N., ACNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345 Phone: 818-365-1194  | |
Marina Bourke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531  | |
Paulina Cos,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 661-607-4982  | |
Ms. Deborah Mariko Tsunoda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-898-4465 Fax: 818-898-4316  | |
Maria Behrooj, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531  | |
Oscar A Diaz, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11133 N Sepulveda Blvd, Mission Hills, CA 91346 Phone: 818-837-5785  | |
Margaret E. Rivas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531  |