Jonathan James Benak in Santa Cruz - Physician Assistant
Jonathan James Benak - NPI 1336179852
Jonathan James Benak is a Physician Assistant in Santa Cruz, California. Jonathan James Benak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jonathan James Benak is 1336179852. The last update date is 2020-03-18.
Jonathan James Benak's current location address is 615 Ocean St, Santa Cruz, California. You can contact this provider via phone number 8314257991 and fax number 8314257346. The mailing address for Jonathan James Benak is 615 Ocean St, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan James Benak |
|---|---|
| Address | 615 Ocean St, Santa Cruz, California |
| Phone Number | 8314257991 |
| Fax Number | 8314257346 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1336179852 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-03-18 |
Provider Mailing Address Detail
| Address | 615 Ocean St |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950604005 |
| Phone Number | 8314257991 |
| Fax Number | 8314257346 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15143 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA15143 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jonathan James Benak by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathan James Benak has been assigned the NPI (National Provider Identifier) 1336179852. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jonathan James Benak?
The Jonathan James Benak is physically situated at 615 Ocean St, in the city of Santa Cruz, state of CA, with the postal code 950604005.
What is the area of specialization for Jonathan James Benak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jonathan James Benak is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336179852 to Jonathan James Benak?
The Centers for Medicare & Medicaid Services assigned the 1336179852 to Jonathan James Benak on 2006-07-03.
When was the Jonathan James Benak's information last updated?
The Jonathan James Benak's information was last updated on 2020-03-18.