Individual provider Active NPI

Valerie Bengal, MD

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1790701761
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45405 Issued in CA
Practice address
1441 Constitution Blvd
BLDG 200, Floor 1, Suite 103
Salinas, CA 93906-3100
Phone
(831) 755-4123
Fax
(831) 755-7084
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G45405 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG 200, Floor 1, Suite 103
Salinas, CA 93906-3100

Mailing address

559 E Alisal St
Suite 201
Salinas, CA 93905-2516
Phone (831) 769-1304

Other identifiers 2

IdentifierTypeStateIssuer
1588615629OtherCANPI CLINIC
FHC70127FMedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45405CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790701761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E ALISAL ST",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052516",
            "telephone_number": "831-769-1304",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG 200, FLOOR 1, SUITE 103",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4123",
            "fax_number": "831-755-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGAL",
        "first_name": "VALERIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CLINIC",
            "identifier": "1588615629",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70127F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.