Healthcare Provider Details

I. General information

NPI: 1073471942
Provider Name (Legal Business Name): CAPPER MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 NEWBURY RD STE 105
NEWBURY PARK CA
91320-6436
US

IV. Provider business mailing address

1000 NEWBURY RD STE 105
NEWBURY PARK CA
91320-6436
US

V. Phone/Fax

Practice location:
  • Phone: 747-222-6501
  • Fax:
Mailing address:
  • Phone: 747-222-6501
  • Fax: 805-861-1270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN H CAPPER
Title or Position: PHYSICIAN, PRESIDENT
Credential: MD
Phone: 747-222-6501