Family Health Center of Benicia

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY HEALTH CENTER OF BENICIA

Practice address

1440 Military W
Benicia, CA 94510-2451

Phone

(707) 745-0711

Fax

(707) 745-0788

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nanette C Bennett

Title

Office Manager

Phone

(707) 745-0711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Dalton, M. D.

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1376502898
  Medicare reassignment Care Compare group NPD
• Kristina Jin Kim, D.O.

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1194993923
  Medicare reassignment Care Compare group NPD
• Aaron Joseph Zaks, DO

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1447600317
  Medicare reassignment Care Compare group NPD
• Zita Reyes Latona, M.D.

  • Family Medicine Physician
  • Martinez, CA
  • NPI 1528270998
  Medicare reassignment NPD
• Shelly Maramonte, M. D.

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1205895695
  Medicare reassignment NPD
• Rachel Shanan Kennedy

  • Medical Physician Assistant
  • Benicia, CA
  • NPI 1801095799
  Medicare reassignment
• Walter Zaks, M. D.

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1316906704
  NPD
• Kenneth Bowers, MD

  • Family Medicine Physician
  • Benicia, CA
  • NPI 1063471456
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336194646",
    "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": "945102446",
            "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": {
        "organization_name": "FAMILY HEALTH CENTER OF BENICIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NANETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-745-0711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine A Elumba, CMT
• Emani Inc
• Emani Incorporated
• Essential Care Consulting
• Family Doctor Medical Group
• Shirley De Araujo Faria Cruz
• Jeremy Ryan Faust, PHYSICAL THERAPIST
• Dorsine Lajune Ferguson
• Linda F Figueroa
• Nanci Su Finley, LMFT

• Family Medicine Physician in Benicia, CA
• Providers in Benicia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.