NPIMap

Individual provider Active NPI

George WM. Bensch, M.D.

  • Specialist
  • Stockton, CA
National Provider Identifier
1508839457
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C034965 Issued in CA
Practice address
4628 Georgetown PL
Stockton, CA 95207-6204
Phone
(209) 478-6177
Fax
(209) 478-6219
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C034965 CA Primary

Addresses

Primary practice location

4628 Georgetown PL
Stockton, CA 95207-6204

Mailing address

4628 Georgetown PL
Stockton, CA 95207-6204
Phone (209) 478-6177

Other identifiers 2

IdentifierTypeStateIssuer
00C349650MedicaidCA
ZZZ75721ZOtherCAMEDI-CAL GRP ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000727 CA Practitioner - Allergy/Immunology 9133293459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of North Carolina at Chapel Hill School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Immunology and Asthma Medical Group IncGroup PAC ID 7618041922, 4 clinicians

Practice addresses (Care Compare)

4628 Georgetown PL
Stockton, CA 95207-6204
Phone (209) 951-5353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C034965CAMDSpecialist
34965CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
County of San Joaquin Past Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508839457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 GEORGETOWN PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076204",
            "telephone_number": "209-478-6177",
            "fax_number": "209-478-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 GEORGETOWN PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076204",
            "telephone_number": "209-478-6177",
            "fax_number": "209-478-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSCH",
        "first_name": "GEORGE",
        "middle_name": "WM.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C034965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C349650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL GRP ID NUMBER",
            "identifier": "ZZZ75721Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.