Active NPI
Benjamin M Ward, PA-C
- Medical Physician Assistant
- Merced, CA
National Provider Identifier
1104250018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA52545
- Practice address
- 3150 G St
Ste C
Merced, CA 95340-1346 - Phone
- (209) 233-9364
- Fax
- (209) 233-9621
- NPI assigned
- Aug 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA52545 | CA | Primary |
Addresses
Primary practice location
3150 G St
Ste C
Merced, CA 95340-1346
Mailing address
PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5436 | AZ | MD | Chiropractor |
| PA52545 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1104250018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4978",
"city": "MODESTO",
"state": "CA",
"postal_code": "953524978",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 G ST",
"address_2": "STE C",
"city": "MERCED",
"state": "CA",
"postal_code": "953401346",
"telephone_number": "209-233-9364",
"fax_number": "209-233-9621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "BENJAMIN",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA52545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.