Active NPI
Emily Ann Bender, M.D.
- Family Medicine Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A193810
- Practice address
- 260 Hospital Dr Ste 204
Ukiah, CA 95482-4568 - Phone
- (707) 467-5220
- Fax
- (707) 468-9179
- NPI assigned
- Apr 3, 2018
- Last updated
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | MD2021-1013 | NM | |
| Family Medicine Physician | 207Q00000X | DR.0063310 | CO | |
| Family Medicine Physician | 207Q00000X | A193810 | CA | Primary |
| Hospitalist Physician | 208M00000X | A193810 | CA |
Addresses
Primary practice location
260 Hospital Dr Ste 204
Ukiah, CA 95482-4568
Mailing address
260 Hospital Dr Ste 204
Ukiah, CA 95482-4568
Phone (707) 467-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Alabama School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ukiah Adventist Hospital
Practice addresses (Care Compare)
260 Hospital Dr
Ukiah, CA 95482-4568
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A193810 | CA | MD | Family Medicine Physician |
| DR.0063310 | CO | MD | Family Medicine Physician |
| MD2021-1013 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Poudre Valley Health Care,Inc | Past | Accepting new patients | |
| Poudre Valley Health Care Inc | Past | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
Interoperability endpoints
- ebender837396@ahs.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Manteca, CA
- NPI 1689320459
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Ukiah, CA
- NPI 1053790915
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Clearlake, CA
- NPI 1801536867
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
dba Poudre Valley Health System
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
-
- Clinic/Center
- Fort Collins, CO
- NPI 1891837738
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1821594318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 204",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-467-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR STE 204",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-467-5220",
"fax_number": "707-468-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2021-1013",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0063310",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A193810",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A193810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.