FAMILY DOCTOR MEDICAL GROUP (NPI# 1417083965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083965 |
| Entity Type | Organization |
| Organization Name | FAMILY DOCTOR MEDICAL GROUP |
| Practice Address |
160 E N St Benicia CA 94510-2734 |
| Practice Telephone | 7077459211 |
| Practice Fax Number | 7077453015 |
| Mailing Telephone | 7077459211 |
| Mailing Fax Number | 7077453015 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | DR. RICHARD FRANK (PRESIDENT) |
| Authorized Official Telephone | 7077454348 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A499399 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | PA16645 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | C42256 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | C41918 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | H70813 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A47981 | CA | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A57270 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | A27248 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A88568 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G25971 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LORELEE SCIPIONE, PA | PA 16645 | 01 |
| Street Address |
160 E N ST |
| City | BENICIA |
| State | CA |
| Zip Code | 94510-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801968466 | Bala Chandran Marar | Orthopaedic Surgery | 160 E N St, Benicia, CA 94510-2734 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| Find all providers in zip 94510 | ||||
| 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 |
|---|---|---|---|---|
| 1356637946 | Clifford Rees Hoffman | Family Medicine | 831 E 2nd St Ste 103, Benicia, CA 94510-3324 | 2011-06-22 |
| 1093844649 | Dickie Lynn Hill | Family Medicine | 821 E 2nd St, Suite 104, Benicia, CA 94510-3344 | 2007-03-02 |
| 1790823425 | Lisa Messina | Family Medicine | 2012 Columbus Pkwy, Benicia, CA 94510-5400 | 2007-02-02 |
| 1376502898 | Laura Dalton | Family Medicine | 1440 Military W, Suite 101, Benicia, CA 94510-2451 | 2006-03-22 |
| 1194993923 | Kristina Jin Kim | Family Medicine | 1440 Military W, Benicia, CA 94510-2451 | 2008-02-14 |
| 1336194646 | Family Health Center of Benicia | Family Medicine | 1440 Military W, Benicia, CA 94510-2451 | 2006-05-24 |
| 1457312753 | Taiyun Roe | Family Medicine | 1440 Military W, Suite 101, Benicia, CA 94510-2451 | 2006-03-28 |
| 1063471456 | Kenneth Bowers | Family Medicine | 1440 Military W, Suite 101, Benicia, CA 94510-2451 | 2006-03-22 |
| 1205895695 | Shelly Maramonte | Family Medicine | 1440 Military W, Benicia, CA 94510-2451 | 2006-03-22 |
| 1316906704 | Walter Zaks | Family Medicine | 1440 Military W, Suite 101, Benicia, CA 94510-2451 | 2006-03-22 |
| Find all providers in BENICIA | ||||
Please comment or provide details below to improve the information on FAMILY DOCTOR MEDICAL GROUP.
| 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.