Organization Active NPI

Benedict T. Carota MD a Professional Corporation

  • Family Medicine Physician
  • Hollister, CA
National Provider Identifier
1043221245
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A363590 Issued in CA
Legal business name
BENEDICT T. CAROTA MD A PROFESSIONAL CORPORATION
Practice address
901 Sunset Dr
Ste 1
Hollister, CA 95023
Phone
(831) 637-1655
Fax
(831) 637-6894
NPI assigned
Aug 11, 2006
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benedict T. Carota, M.D.NPI 1548255029
Title
President
Phone
(831) 637-1655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A363590 CA Primary

Addresses

Primary practice location

901 Sunset Dr
Ste 1
Hollister, CA 95023

Mailing address

901 Sunset Dr
Ste 1
Hollister, CA 95023
Phone (831) 637-1655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1043221245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR",
            "address_2": "STE 1",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-637-1655",
            "fax_number": "831-637-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR",
            "address_2": "STE 1",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "95023",
            "telephone_number": "831-637-1655",
            "fax_number": "831-637-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICT T. CAROTA MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "CAROTA",
        "authorized_official_first_name": "BENEDICT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-637-1655",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A363590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.