Active NPI
PJ Benipal MD Inc
- Gastroenterology Physician
- Santa Maria, CA
National Provider Identifier
1730214602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A64620
- Legal business name
- PJ BENIPAL MD INC
- Practice address
- 116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906 - Phone
- (805) 347-7355
- Fax
- (805) 347-7354
- NPI assigned
- Feb 22, 2007
- Last updated
- Jan 22, 2014
- 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
- Mrs. Gloria Moreno
- Title
- Office Manager
- Phone
- (805) 347-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A64620 | CA | Primary |
Addresses
Primary practice location
116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906
Mailing address
116 S Palisade Dr Ste 210
Santa Maria, CA 93454-8906
Phone (805) 347-7355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A64620 | Other | CA | LICENSE NUMBER |
| 00A646200 | Medicaid | CA |
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, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Santa Maria, CA
- NPI 1306803572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390348800000",
"number": "1730214602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S PALISADE DR STE 210",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548906",
"telephone_number": "805-347-7355",
"fax_number": "805-347-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S PALISADE DR STE 210",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548906",
"telephone_number": "805-347-7355",
"fax_number": "805-347-7354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PJ BENIPAL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2014-01-22",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "GLORIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "805-347-2722",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A64620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A64620",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A646200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Erica Pinto, M.S. CCC-SLP
- Annette Meireles Piper
- Pitrowski and Goldberg Dental Group (Coastal Oral Surgery and Dental Implant Center)
- Anthony Pitrowski, M.D., D.M.D.
- Amy Jo Pivato, R.D.
- Ashley Alana Plan
- Planned Parenthood California Central Coast
- Planned Parenthood California Central Coast (Santa Maria Health Center)
- Briseyda M Platero
- Plaza Surgery Center L P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.