| San Benito Health Foundation | |
|
351 Felice Dr Hollister CA 95023-3361 | |
| (831) 637-5306 | |
| (831) 637-9640 |
| Full Name | San Benito Health Foundation |
|---|---|
| Speciality | Clinic/Center |
| Location | 351 Felice Dr, Hollister, California |
| Authorized Official Name and Position | Rosa Vivian Fernandez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8316375306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Benito Health Foundation 351 Felice Dr Hollister CA 95023-3361 Ph: (831) 637-5306 | San Benito Health Foundation 351 Felice Dr Hollister CA 95023-3361 Ph: (831) 637-5306 |
| NPI Number | 1295810174 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840195442 |
|---|---|
| Medicare Enrollment ID | O20031205000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295810174 | NPI | - | NPPES |
| HAP03872F | Medicaid | CA | |
| EAP03872F | Other | CA | UNCOMPENSATED CARE |
| BCP03872F | Medicaid | CA | |
| FHC03872F | Other | CA | MEDI-CAL IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Glenn Arthur Cooperman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679821979 PECOS PAC ID: 7214176403 Enrollment ID: I20130619000361 |
| Provider Name | Deann Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598046559 PECOS PAC ID: 9739306564 Enrollment ID: I20140818002777 |
| Provider Name | Joyce M Wilbur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871041467 PECOS PAC ID: 4981017597 Enrollment ID: I20220712000955 |
| Provider Name | Yazmin Vargas Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912673450 PECOS PAC ID: 4486048444 Enrollment ID: I20220713000466 |
| Provider Name | Erika Jazmin Ceballos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871166587 PECOS PAC ID: 1052703055 Enrollment ID: I20220713002213 |
| Provider Name | Ira Vergara Amayun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639845993 PECOS PAC ID: 8729469127 Enrollment ID: I20220716000389 |
| Provider Name | Maria Luisa Vargas Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912630856 PECOS PAC ID: 4587045687 Enrollment ID: I20220720003888 |
| Provider Name | Bhaskar Gupta |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053037234 PECOS PAC ID: 9032586995 Enrollment ID: I20221104002582 |
| Provider Name | Nathanael Cordero Valentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780399121 PECOS PAC ID: 5698147049 Enrollment ID: I20230210001421 |
| Provider Name | Mercedes Yasmine Hendley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437936762 PECOS PAC ID: 3779938097 Enrollment ID: I20231006000362 |
| Provider Name | Faranak Fahimipour |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851170096 PECOS PAC ID: 0648625160 Enrollment ID: I20231018000994 |
| Provider Name | Javier Sotomayor Tapia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669153581 PECOS PAC ID: 2264889666 Enrollment ID: I20231107000971 |
| Provider Name | Karla Fernanda Iraheta Castellon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407618937 PECOS PAC ID: 1951749506 Enrollment ID: I20240402003248 |
Hazel Hawkins Primary Care & Surgical Specialty Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Sunset Dr Building 1 Ste C, Hollister, CA 95023 Phone: 831-630-1019 Fax: 831-630-0691 | |
San Benito Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2664 Fax: 831-636-2641 | |
Benedict T. Carota Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Sunset Dr, Ste 1, Hollister, CA 95023 Phone: 831-637-1655 Fax: 831-637-6894 | |
Your Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 591 Mccray St, Suite 211, Hollister, CA 95023 Phone: 831-531-4213 | |
San Benito County Health & Human Services Agency/public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 4th St, Hollister, CA 95023 Phone: 831-637-5367 Fax: 831-637-9073 | |
Perpetual Help Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Sunset Dr, Suite 4, Hollister, CA 95023 Phone: 831-636-1571 Fax: 831-636-1706 | |
Daniel Y Wang Md Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 920 Sunnyslope Rd, Hollister, CA 95023 Phone: 831-636-1332 Fax: 831-636-1342 |