| Dr Benjamin A Hernandez Velasco, MD | |
|
1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | |
| (707) 547-5437 | |
| (707) 547-5430 |
| Full Name | Dr Benjamin A Hernandez Velasco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1165 Montgomery Dr, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720181282 | NPI | - | NPPES |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin A Hernandez Velasco, MD 200 W Center Street Promenade Ste 400, Anaheim, CA 92805-3960 Ph: (714) 449-4800 | Dr Benjamin A Hernandez Velasco, MD 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 547-5437 |
Rajveer Sangera, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405 Phone: 707-576-7100 | |
Dr. Yulia Rivelis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403 Phone: 707-573-5458 Fax: 707-573-5458 | |
Soheila Benrazavi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-528-1616 | |
Suhana Elamsenthil, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 | |
Jarrod Paul Holmes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-528-1050 Fax: 707-525-3874 | |
Dr. James Andrew Driscoll, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4001 Split Rail Ct, Santa Rosa, CA 95403 Phone: 512-459-6599 | |
Dominic Joseph Picetti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |