Baskerville, Bennett, Block & Liu, A Medical Corp

Pediatrics

Baskerville, Bennett, Block & Liu, A Medical Corp is a Freedom, California based Pediatric center with medical specialization in General Pediatrics. Baskerville, Bennett, Block & Liu, A Medical Corp is doing business as Capitola Pediatrics. It is located at 252 Green Valley Rd, Freedom, California - 95019-3138. They can be contacted on phone at 831-475-7442 and fax number 831-475-7417.
NPI number (Unique professional ID) for Baskerville, Bennett, Block & Liu, A Medical Corp is 1962527606 which was assigned by NPPES on 20 Mar, 2007 and it was last updated on 22 Aug, 2020.
Baskerville, Bennett, Block & Liu, A Medical Corp is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Baskerville, Bennett, Block & Liu, A Medical Corp basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Baskerville, Bennett, Block & Liu, A Medical Corp
Other Name :Capitola Pediatrics
Business Address:
Baskerville, Bennett, Block & Liu, A Medical Corp address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :252 Green Valley Rd
Freedom, CA, 95019-3138
United States
Phone Number :831-475-7442
Fax Number :831-475-7417
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1962527606
NPI Entity Type : Organization
First Enrolment Date : 20 Mar, 2007
Last Updated On : 22 Aug, 2020
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :James Bennett
Authorized Official Credential :M.D.
Official Title or Position :OWNER
Phone Number :831-763-4310
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Baskerville, Bennett, Block & Liu, A Medical Corp are as mentioned. Primary taxonomy code for Baskerville, Bennett, Block & Liu, A Medical Corp is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes
Legacy Identifiers:
Other legacy medical identifiers of Baskerville, Bennett, Block & Liu, A Medical Corp such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
ZZZ08030ZOtherCABLUE SHIELD ID#-WV OFFICE
GR0099150MEDICAIDCA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :4145 Clares St, Suite A
Capitola, CA, 95010-2053
United States
Phone Number :831-475-7442
Fax Number :831-475-7417
Business Location:
Patients can refer following map for directions to Baskerville, Bennett, Block & Liu, A Medical Corp practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.