Healthcare Provider Details

I. General information

NPI: 1740128149
Provider Name (Legal Business Name): FIRST 5 SAN BENITO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 TRES PINOS RD STE 100A
HOLLISTER CA
95023-5588
US

IV. Provider business mailing address

351 TRES PINOS RD STE 100A
HOLLISTER CA
95023-5588
US

V. Phone/Fax

Practice location:
  • Phone: 831-809-4904
  • Fax: 831-427-7957
Mailing address:
  • Phone: 831-809-4904
  • Fax: 831-427-7957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARAH BEATIE
Title or Position: DIRECTOR OF FUNDER RELATIONS
Credential:
Phone: 831-809-4904