Active NPI
Steven N Benaron, MD
- Emergency Medicine Physician
- Templeton, CA
National Provider Identifier
1366400657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G45273
- Practice address
- 1100 Las Tablas Rd
Templeton, CA 93465-9704 - Phone
- (805) 546-7650
- NPI assigned
- May 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | G45273 | CA | |
| Emergency Medicine Physician | 207P00000X | G45273 | CA | Primary |
Addresses
Primary practice location
1100 Las Tablas Rd
Templeton, CA 93465-9704
Mailing address
PO Box 87
Templeton, CA 93465-0087
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930081701 | Other | CA | MEDICARE RAILROAD |
| 00G452730 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20100416000602 | CA | Practitioner - Emergency Medicine | 9436286895 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45273 | CA | MD | Pharmacist |
| G45273 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Nightingale Medical Group, Inc. | Past | Accepting new patients |
Locations
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Templeton, CA
- NPI 1972535557
CA, Emergency Medicine
-
- Primary Care Clinic/Center
- Santa Maria, CA
- NPI 1063439149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1366400657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934650087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAS TABLAS RD",
"city": "TEMPLETON",
"state": "CA",
"postal_code": "934659704",
"telephone_number": "805-546-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENARON",
"first_name": "STEVEN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "G45273",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G45273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930081701",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G452730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Templeton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.