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 |
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| Provider Name : | Baskerville, Bennett, Block & Liu, A Medical Corp |
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| Other Name : | Capitola Pediatrics |
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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 |
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| Phone Number : | 831-475-7442 |
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| Fax Number : | 831-475-7417 |
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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 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 Mar, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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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 |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 831-763-4310 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
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.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ08030Z | Other | CA | BLUE SHIELD ID#-WV OFFICE |
| GR0099150 | MEDICAID | CA | |
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 |
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| Phone Number : | 831-475-7442 |
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| Fax Number : | 831-475-7417 |
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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.