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BENEDICTO M. ESTOESTA M.D. INC NPI 1538157953


NPI Information

NPI: 1538157953
Provider Name: BENEDICTO M. ESTOESTA M.D. INC

Doing Business As: CENTER FOR INTEGRATIVE MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
55 S HIGHWAY 26 STE 1
VALLEY SPRINGS, CA
ZIP 95252
Phone: (209) 772-8906
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BENEDICTO M. ESTOESTA M.D. INC is a family medicine in Valley Springs, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BENEDICTO M. ESTOESTA M.D. INC NPI is 1538157953. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Integrative Medicine.

The provider's business location address is:

55 S HIGHWAY 26 STE 1
VALLEY SPRINGS, CA
ZIP 95252-422
Phone: (209) 772-8906
Fax: (209) 772-8950

The provider's authorized official is Benedicto Mercado Estoesta .
The authorized official title is President and has the following contact phone number (209) 772-8906.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 2/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineA49318CALIFORNIANo
2207Q00000XFamily MedicineA49318CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F06514MEDICARE UPINCALIFORNIA
200A493183MEDICARE PINCALIFORNIA
31538157953MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
41538157953MEDICARE NSCCALIFORNIA
500A493183MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADR. ESTOESTA'S MEDICARE
6GR0095330MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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