San Jose Surgical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SAN JOSE SURGICAL GROUP

Practice address

150 N Jackson Ave
Suite 100
San Jose, CA 95116-1908

Phone

(408) 770-2297

Fax

(408) 770-2649

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Scott Benninghoven, MD

Title

Owner

Phone

(408) 848-3799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1649673526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940230681",
            "telephone_number": "408-770-2297",
            "fax_number": "408-770-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-770-2297",
            "fax_number": "408-770-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "BENNINGHOVEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-848-3799",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Jose Physical Therapy Incorporated
• San Jose Pulmonary Associates
• San Jose Refractive, LLC
• San Jose Sports Medicine & Orthopedics
• San Jose State University Student Health Center
• San Jose Therapy, a Licensed Clinical Social Worker Corporation
• San Jose Usd
• San Jose Womens Medical Group Inc
• San Jose/Evergreen Community College District
• Carlos Manuel Angeles San Mateo, MD

• Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.