Individual provider Active NPI

Clifford Rees Hoffman, D.O., M.P.H.

  • Family Medicine Physician
  • Benicia, CA
National Provider Identifier
1356637946
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13761 Issued in CA
Practice address
831 E 2ND St Ste 103
Benicia, CA 94510-3324
Phone
(707) 750-5944
Fax
(707) 750-5185
NPI assigned
Jun 22, 2011
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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 20A13761 CA Primary

Addresses

Primary practice location

831 E 2ND St Ste 103
Benicia, CA 94510-3324

Mailing address

831 E 2ND St Ste 103
Benicia, CA 94510-3324
Phone (707) 750-5944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 28, 2017 through Jul 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13761CAMDProfessional Counselor
20A13761CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1356637946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E 2ND ST STE 103",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103324",
            "telephone_number": "707-750-5944",
            "fax_number": "707-750-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E 2ND ST STE 103",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103324",
            "telephone_number": "707-750-5944",
            "fax_number": "707-750-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CLIFFORD",
        "middle_name": "REES",
        "name_prefix": "Mr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

Verify at the official NPI Registry.