Healthcare Provider Details

I. General information

NPI: 1649145194
Provider Name (Legal Business Name): BENJAMIN TOFFOLETTI PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 SARATOGA WAY STE 110
EL DORADO HILLS CA
95762-4590
US

IV. Provider business mailing address

7000 WOODKNOLL WAY
CARMICHAEL CA
95608-2041
US

V. Phone/Fax

Practice location:
  • Phone: 916-250-2596
  • Fax:
Mailing address:
  • Phone: 916-889-0408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: