Individual provider Active NPI

Shelly Maramonte, M. D.

  • Family Medicine Physician
  • Benicia, CA
National Provider Identifier
1205895695
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G79759 Issued in CA
Practice address
1440 Military W
Benicia, CA 94510-2451
Phone
(707) 745-0711
Fax
(707) 745-0788
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G79759 CA Primary

Addresses

Primary practice location

1440 Military W
Benicia, CA 94510-2451

Mailing address

1440 Military W
Benicia, CA 94510-2451
Phone (707) 745-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071012000186 CA Practitioner - Family Practice 5597851105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79759CAMDPsychoanalyst
G79759CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Benicia Family Medicine CurrentSince Jun 1, 2007 Accepting new patients

Locations

1440 Military W
Ste 101
Benicia, CA 94510
Phone (707) 745-0711

1440 Military W
Benicia, CA 94510
Phone (707) 341-7962

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205895695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MILITARY W",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102451",
            "telephone_number": "707-745-0711",
            "fax_number": "707-745-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MILITARY W",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102451",
            "telephone_number": "707-745-0711",
            "fax_number": "707-745-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAMONTE",
        "first_name": "SHELLY",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

Verify at the official NPI Registry.