Active NPI
Benny Hau, MD
- Family Medicine Physician
- Redlands, CA
National Provider Identifier
1588780506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G074902
- Practice address
- 1244 W Highland Ave
Redlands, CA 92373-6659 - Phone
- (909) 793-4262
- Fax
- (909) 792-5337
- NPI assigned
- Mar 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G074902 | CA | Primary |
Addresses
Primary practice location
1244 W Highland Ave
Redlands, CA 92373-6659
Mailing address
PO Box 10249
San Bernardino, CA 92423-0249
Phone (909) 793-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G074902 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588780506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10249",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230249",
"telephone_number": "909-793-4262",
"fax_number": "909-792-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 W HIGHLAND AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736659",
"telephone_number": "909-793-4262",
"fax_number": "909-792-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAU",
"first_name": "BENNY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G074902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.