DR. BEVERLY J BENSON (NPI# 1336112127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336112127 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY J BENSON |
| Other Name | DR. BEVERLY JEAN KONKIN |
| Credential | M.D. |
| Practice Address |
1312 Washington St Calistoga CA 94515-1442 |
| Practice Telephone | 7079421113 |
| Practice Fax Number | 7079421463 |
| Mailing Telephone | 7079421113 |
| Mailing Fax Number | 7079421463 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2009-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G080070 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532462 | Beverly Benson | Registered Nurse | 3551 Roger Brooke Dr, Bldg 3600 Annex C Trailer 16, Fort Sam Houston, TX 78234-4504 | 2015-07-08 |
| Street Address |
1312 WASHINGTON ST |
| City | CALISTOGA |
| State | CA |
| Zip Code | 94515-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093296402 | Erin Bolick | Student in an Organized Health Care Education/Training Program | 1426 Filmore Street, San Francisco, CA 94515 | 2018-08-23 |
| 1992182232 | Zoe Foster | Massage Therapist | 505 Dutch Henry Canyon, Calistoga, CA 94515 | 2015-05-06 |
| 1871833129 | Leroy E. Bowser | Dentist | 1619 Washington Street, Calistoga, CA 94515 | 2013-02-25 |
| 1760660831 | Ole Health | Clinic/Center | 911 Washington St., Calistoga, CA 94515 | 2008-01-31 |
| 1316031826 | John Paul Fletcher | Chiropractor | 1227 Lincoln Avenue, Suite B, Calistoga, CA 94515 | 2006-10-02 |
| 1114035169 | Robert P Albanese Jr. | Internal Medicine | 1812 Fair Way, Calistoga, CA 94515 | 2006-08-29 |
| 1477553675 | Gabriela Bermudez | Family Medicine | 911 Washington St, Calistoga, CA 94515 | 2005-07-28 |
| 1194180828 | Maria Imelda Matondo Baguia | Nurse Practitioner | 913 Washington St, Calistoga, CA 94515 | 2015-12-23 |
| 1194819953 | Fletcher Chiropractic, Inc | Chiropractor | 1227 Lincoln Avenue, Suite B, Calistoga, CA 94515 | 2006-10-03 |
| 1275797151 | Duffy's Myrtledale, Inc. | Substance Abuse Rehabilitation Facility | 3076 Myrtledale Rd, Calistoga, CA 94515-1052 | 2008-07-10 |
| Find all providers in zip 94515 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710963400 | Andrew G Alexander | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2005-12-15 |
| 1477553675 | Gabriela Bermudez | Family Medicine | 911 Washington St, Calistoga, CA 94515 | 2005-07-28 |
| 1720385818 | Adventist Health Physicians Network | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2011-02-25 |
| 1710284963 | Adventist Health Physicians Network | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2011-02-24 |
| 1407025943 | Adventist Health California Medical Group, Inc. | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2008-02-28 |
| 1598975138 | Jeanette Michelle Williams | Family Medicine | 913 Washington St, Calistoga, CA 94515-1433 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
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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.