Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Niku Bensoussan, PA-C

Individual provider Physician Assistant · NPI 1164930228

Michelle Niku Bensoussan, PA-C is a Physician Assistant in Montebello, California. Qualified in 2017, 9 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone: (323) 726-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 Wilshire Blvd Fl 1, Santa Monica, CA 90401-1854 — (310) 829-8441

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55191 (CA)

Record details

NPI number1164930228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Montebello