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Jacquelyn Benner

Pediatrics β€’ Orange, CA

Active NPI 1174082481 Individual Practitioner Female Practitioner
Practice location in NPPES

505 S Main St Ste 525
Orange, CA 928684553

Call 7144565631 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

505 S Main St Ste 525

Orange, CA 928684553

Telephone 7144565631

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacquelyn Benner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacquelyn Benner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Orange and California

229 active clinicians are listed under Pediatrics with a practice address in Orange, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange

0.4% of these 229 clinicians have the CMS telehealth indicator.

7.4% of these 229 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A179854

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES CA A179854

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20220316000510

Enrollment State Jurisdiction

CA

PECOS Control ID

2668867367

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1700415445

Doctor of Medicine (M.D.)

Grace Kim

Student in an Organized Health Care Education/Training Program

NPI 1740939321
Dr. Michael Kung , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1316573389

Doctor of Medicine (M.D.)

NPI 1568633881

Doctor of Medicine (M.D.)

Dr. Nikki Nhu Nguyen , MD

Student in an Organized Health Care Education/Training Program

NPI 1386148781

Doctor of Medicine (M.D.)

NPI 1235300989

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address March 05, 2026

Registered at 9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 936368761 (Tel: 5593535700)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Anesthesiology (license number reported to NPPES: CA A179854)

βœ…
NPI Profile Active March 16, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 16, 2019

Registered at 505 S MAIN ST STE 525, ORANGE, CA 928684553 (Tel: 7144565631)

πŸ“
Business Mailing Address (Initial Record) March 16, 2019

Registered at 505 S MAIN ST STE 525, ORANGE, CA 928684553 (Tel: 7144565631)

πŸ‘€
Provider Name / Credentials (Initial Record) March 16, 2019

Recorded as JACQUELYN BENNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 16, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174082481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2019
Last Update: March 05, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Orange

All Pediatrics Specialists in Orange

Mailing Address

9300 Valley Childrens Pl # Sc05

Madera, CA 936368761

Phone: 5593535700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.