Physician Compare National (NPI:1669453254)

HEALTHCARE PROVIDER: RICARDA D BENZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669453254
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264532316
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070703000289
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BENZ
	Individual professional last name
Provider First Name	RICARDA
	Individual professional first name
Provider Middle Name	DANIELA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 E VALENCIA MESA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 215
	Group Practice or individual's line 2 address
City	FULLERTON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	928353800
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050168
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JUDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050589
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PLACENTIA LINDA HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y