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

Dr. Lisa Miriam Benepe, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699234542

Dr. Lisa Miriam Benepe, MD is an Emergency Medicine in San Luis Obispo, California. Qualified in 2019, 7 years ago. Practices with Cep America - California, a 1,267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
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

1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone: (805) 543-5353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4445 Magnolia Ave, Riverside, CA 92501-4135 — (310) 849-7054

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A176547 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699234542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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