JACOB BENFORD (NPI# 1063467595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063467595 |
| Entity Type | Individual |
| Full Name | JACOB BENFORD |
| Credential | MD |
| Practice Address |
225 North Jackson Avenue San Jose CA 95116 |
| Mailing Address |
2100 Powell Street Suite 900 Emeryville CA 94608-1804 |
| Practice Telephone | 4089237121 |
| Mailing Telephone | 5103502664 |
| Mailing Fax Number | 5108794076 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD195812 | OR | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | A60475 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A604750 | 05 |
| Street Address |
225 NORTH JACKSON AVENUE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417079 | Cep America - California | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-05-23 |
| 1679883821 | Linda Marie Catalli | Nurse Practitioner | 225 North Jackson Avenue, San Jose, CA 95116 | 2010-10-20 |
| 1952537771 | Richard S Chen | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 95116 | 2009-06-08 |
| 1962449660 | Victor Hsiang Wu | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-06-01 |
| 1033156740 | Tony Hue-dan Yuan | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 94608-1803 | 2006-06-01 |
| 1700823580 | Patricia Anne Wilson | Physician Assistant | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-06-01 |
| 1255378410 | Heather Elizabeth Weiss | Physician Assistant | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-05-31 |
| 1427005339 | Mohammad Tavakol | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-05-27 |
| 1386699437 | Elvira Ruiz Parks | Physician Assistant | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-05-24 |
| 1184679433 | Jeff H Chan | Emergency Medicine | 225 North Jackson Avenue, San Jose, CA 95116 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570102 | Lori Chung Cho Dmd Inc. | Clinic/Center | 150 N Jackson Ave Ste 103, San Jose, CA 95116 | 2018-09-03 |
| 1306333174 | Patrick Suezaki | Dentist | 250 Montclair Ave Ste C, San Jose, CA 95116 | 2018-04-17 |
| 1871016147 | Israel Enrique Ruiz Lora | Social Worker | 1075 East Santa Clara, San Jose, CA 95116 | 2017-07-19 |
| 1275072613 | Araceli Yazmin Garcia | Case Manager/Care Coordinator | 1652 E San Fernando St, San Jose, CA 95116 | 2017-02-17 |
| 1710304712 | Natalie K. Huynh D.d.s Inc. | Dentist | 2340 Mckee Rd #24, San Jose, CA 95116 | 2014-03-27 |
| 1437597747 | Ian Ellis Mccoy | Internal Medicine | 2360 Mckee Rd Ste 10, San Jose, CA 95116 | 2013-06-08 |
| 1588913321 | Adrian Fernandez | Counselor | 1245 East Santa Clara Street, San Jose, CA 95116 | 2012-09-07 |
| 1851678841 | Krystal Lani Subia | Counselor | 101 Jose Figueres Avenue, San Jose, CA 95116 | 2011-11-04 |
| 1255668224 | Sophia O.j.m. Dijkstra | Physical Therapist | 180 N. Jackson Ave, San Jose, CA 95116 | 2009-11-11 |
| 1255562096 | Jovan De Guzman Sedilla | Physical Therapy Assistant | 180 N. Jackson Ave., San Jose, CA 95116 | 2009-07-28 |
| Find all providers in zip 95116 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104279348 | Jeff W Chiu | Emergency Medicine | 851 S Bacom Ave, San Jose, CA 95128 | 2016-07-22 |
| 1164838181 | James Saunders | Emergency Medicine | 124 Boston Ave, San Jose, CA 95128-1944 | 2014-07-10 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1932467255 | Christopher Steven Campbell | Emergency Medicine | 1442 S Winchester Blvd # 117, San Jose, CA 95128-4330 | 2012-04-24 |
| 1952530537 | Steve Ming-cheng Sun | Emergency Medicine | 352 La Strada Dr, #12, San Jose, CA 95123-1001 | 2009-07-05 |
| 1881899805 | Peter Michael Intemann | Emergency Medicine | 751 South Bascom Avenue, Santa Clara Valley Medical Center, San Jose, CA 95128 | 2007-06-19 |
| 1053515833 | Howard Elliott Michaels | Emergency Medicine | 255 S Montgomery St, San Jose, CA 95110-2635 | 2007-06-13 |
| 1639256563 | David Douglas Hammons | Emergency Medicine | 55 E. Julian St, San Jose, CA 95112 | 2006-10-31 |
| 1437252301 | Vladimir G. Skorokhod | Emergency Medicine | 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 | 2006-09-06 |
| 1720028574 | California Emergency Physc Med Grp | Emergency Medicine | 219 North Jackson Avenue, San Jose, CA 95116 | 2006-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.