Active NPI
Benjamin J Remington M D Inc
- Neurological Surgery Physician
- Modesto, CA
National Provider Identifier
1679718753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- BENJAMIN J REMINGTON M D INC
- Practice address
- 4016 Dale Rd
Modesto, CA 95356-9268 - Phone
- (209) 571-0288
- Fax
- (209) 571-0327
- NPI assigned
- Dec 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin J Remington
- Title
- Owner
- Phone
- (209) 571-0288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
4016 Dale Rd
Modesto, CA 95356-9268
Mailing address
4016 Dale Rd
Modesto, CA 95356-9268
Phone (209) 571-0288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A761790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1679718753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 DALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569268",
"telephone_number": "209-571-0288",
"fax_number": "209-571-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 DALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569268",
"telephone_number": "209-571-0288",
"fax_number": "209-571-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN J REMINGTON M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-03",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "REMINGTON",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-571-0288"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A761790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.