Sydney Benavidez, MPAS
NPI 1770373896ActiveIndividual· Physician Assistant, Medical· Provo, UT
Physician Assistant, Medical (MPAS) with Southern Nevada Pain Center (Kim) PC, practicing in Provo, Utah. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1770373896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPAS |
| Sole proprietor | Yes |
| NPI issued | May 12, 2025 |
| Last updated in NPPES | Apr 13, 2026 |
| Certified by provider | Apr 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA3448 | NV |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NV) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southern Nevada Pain Center (Kim) PCLas Vegas, NV · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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