Individual provider · Type 1 NPI

Benjamin Gerendash, AGACNP-BC

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1871904151 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X774743 (CA)
Gerontology Nurse Practitioner Primary 363LG0600X95001740 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871904151

Benjamin Gerendash, AGACNP-BC's National Provider Identifier is 1871904151, issued on May 8, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Oct 27, 2026.