Individual provider Active NPI

Frederick Paul Benson, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1245240993
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45615 Issued in CA
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

Updated by the provider on Dec 4, 2013

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000192 CA Practitioner - Family Practice 9032158399

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick P. Benson, MD, Inc Family Medicine CurrentSince Feb 3, 1986 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.

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

Verify at the official NPI Registry.