Individual provider Active NPI

Adelheid T Ebenhoech, MD

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1285622258
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66115 Issued in CA
Practice address
17615 Moro Rd
Salinas, CA 93907-8541
Phone
(831) 663-3926
Fax
(831) 663-0605
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 A66115 CA Primary

Addresses

Primary practice location

17615 Moro Rd
Salinas, CA 93907-8541

Mailing address

17615 Moro Rd
Salinas, CA 93907-8541
Phone (831) 663-3926

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
I20081218000786 CA Practitioner - Family Practice 4688736010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan College of Medicine and Surgery, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1270 Natividad Rd
Salinas, CA 93906-3144

1270 Natividad Rd
146.38
Salinas, CA 93906-3198

1441 Constitution Blvd
Salinas, CA 93906-3100

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6010

PO Box
Suite 80007
Salinas, CA 93912

Hospital & facility affiliations

  • Central Coast Vna & Hospice, Inc Home health agency, Monterey, CA, CCN 057002
  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Premier Home Health Providers Inc. Home health agency, San Jose, CA, CCN 059180
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337

Merit-based Incentive Payment System (MIPS)

Final score
24.03 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
80.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66115CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey CurrentSince Sep 20, 2022 Accepting new patients
County of Monterey Behavioral Health CurrentSince Sep 20, 2022 Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
County of Monterey Family Medicine Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1285622258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 MORO RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939078541",
            "telephone_number": "831-663-3926",
            "fax_number": "831-663-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 MORO RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939078541",
            "telephone_number": "831-663-3926",
            "fax_number": "831-663-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBENHOECH",
        "first_name": "ADELHEID",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.