Active NPIIndividual providerSole proprietor

Dr. Benjamin A Hernandez Velasco, MD

Internal Medicine in Santa Rosa, California

NPI Number1720181282
Practice location
1165 Montgomery Dr, Santa Rosa, CA 95405-4801
Fax
707-547-5430
Last updated
February 11, 2022

Benjamin A. Hernandez Velasco is an Internal Medicine based in Santa Rosa, CA. Benjamin A. Hernandez Velasco practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Benjamin A. Hernandez Velasco is 1720181282 and holds a License No. 13840 (PR). The current practice location address for Benjamin A. Hernandez Velasco is 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 and can be reached out via phone at 707-547-5437 and via fax at 707-547-5430.

Provider Profile Details

NPI Number
1720181282
Provider Name
Benjamin A. Hernandez Velasco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1165 Montgomery Dr, Santa Rosa, CA 95405-4801
Phone Number
707-547-5437
Fax Number
707-547-5430
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2006
Last Update Date
February 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Zip
95405-4801
Phone Number
707-547-5437
Fax Number
707-547-5430
Santa Rosa, CA 95405Get directions →

Provider Business Mailing Address Details

Address
200 W Center Street Promenade Ste 400
Anaheim, CA 92805-3960
City
Anaheim
State
CA
Zip
92805-3960
Phone Number
714-449-4800
Fax Number
714-449-4956

License Information

License Number (1)
13840
License State (1)
PR
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
13840
License State (2)
PR
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
13840
License State (3)
PR
Taxonomy (3)
Hospitalist · 208M00000X
License Number (4)
C150323
License State (4)
CA
Taxonomy (4)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Benjamin A Hernandez Velasco, MD?

The NPI number of Dr. Benjamin A Hernandez Velasco, MD is 1720181282. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Benjamin A Hernandez Velasco, MD?

Dr. Benjamin A Hernandez Velasco, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 13840.

Where does Dr. Benjamin A Hernandez Velasco, MD practice?

The practice location is 1165 Montgomery Dr, Santa Rosa, CA 95405-4801. The office can be reached at 707-547-5437 (phone) or 707-547-5430 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720181282 directly on the NPPES registry website.

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