Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Tetsu Lish, MD

Individual provider Family Medicine Physician · NPI 1417901067

Benjamin Tetsu Lish, MD is a Family Practice in Ventura, California. Qualified in 1996, 30 years ago. Practices with Community Memorial Health System, a 187-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 N Ashwood Ave
Ventura, CA 93003-1810
Phone: (805) 658-5800
Fax: (805) 639-0786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A67012 (CA)

Record details

NPI number1417901067
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESDecember 26, 2013
Mailing address5855 Olivas Park Dr, Ventura, CA 93003-7672

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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