Wellformed AI

NPI 1689444093 · live from the CMS NPI Registry

Gina Benedicto, PA-C

Physician Assistant in Las Vegas, NV. National Provider Identifier 1689444093, active.

NPI record

NPI1689444093 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location5320 S Rainbow Blvd Ste 300, Las Vegas, NV 89118
Practice phone702-892-9696
EnumeratedJanuary 5, 2024
Last updatedNovember 20, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.