Active NPI
Frederick Paul Benson, M.D.
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1245240993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G45615
- Practice address
- 5595 Winfield Blvd
Ste 214
San Jose, CA 95123-1220 - Phone
- (408) 224-6211
- Fax
- (408) 224-6238
- NPI assigned
- Aug 8, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G45615 | CA | Primary |
Addresses
Primary practice location
5595 Winfield Blvd
Ste 214
San Jose, CA 95123-1220
Mailing address
5595 Winfield Blvd
Ste 214
San Jose, CA 96123-1220
Phone (408) 224-6211
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050428000192 | CA | Practitioner - Family Practice | 9032158399 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick P. Benson, MD, Inc | Family Medicine | Current | Accepting new patients |
| Felix Huerta MD a Professional | Past | Accepting new patients |
Locations
5595 Winfield Blvd
Ste 214
San Jose, CA 95123
Phone (408) 224-6211
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Jose, CA
- NPI 1083711220
-
- Internal Medicine Physician
- Watsonville, CA
- NPI 1164759643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1245240993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD",
"address_2": "STE 214",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "961231220",
"telephone_number": "408-224-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5595 WINFIELD BLVD",
"address_2": "STE 214",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951231220",
"telephone_number": "408-224-6211",
"fax_number": "408-224-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "FREDERICK",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G45615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.