NPI Details
Kandice Renee Beenken, D.O. is an orthopaedic surgery in San Diego, CA with 15 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Kandice Renee Beenken, D.O. NPI is 1982991501. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3750 CONVOY ST STE 201
SAN DIEGO, CA
ZIP 92111-770
Phone: (858) 278-8031
Fax: (858) 278-1708
The NPI 1982991501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
The enumeration date for this NPI number is 7/4/2011 and was last updated on 7/21/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 5101019407 | MICHIGAN | No |
| 2 | 207X00000X | Orthopaedic Surgery | | DO2030 | NEVADA | No |
| 3 | 207X00000X | Orthopaedic Surgery | | 20A15340 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1982991501 | MEDICAID | NEVADA | |
| 2 | DO2030 | OTHER | NEVADA | NV MEDICAL LICENSE |
| 3 | 20A15340 | OTHER | CALIFORNIA | CA MEDICAL LICENSE |
| 4 | 5101019407 | OTHER | MICHIGAN | MEDICAL LICENSE NUMBER |
