MEDICARE: BENJAMIN KEVIN HENDRICKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	1295180461	CA

General Provider Information

NPI Number	:	1295180461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN KEVIN HENDRICKS MD

Provider Business Mailing Address
First Line	:	1064 ISABELLA WAY
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93405-6187
Country	:	US
Telephone Number	:	812-345-5422
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CASA ST STE 320
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93405-1894
Country	:	US
Telephone Number	:	805-316-3733
Fax Number	:	805-316-3738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	08/14/2023

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1740665405 — CHRISTINE FELICIA BURG NP
Practice Location Address:

35 CASA ST STE 320
SAN LUIS OBISPO, CA
93405-1894

Practice Phone: 805-250-4844
Practice Fax: 805-785-0356

1972047587 — BRITTANY ROSE BELL PA-C
Practice Location Address:

35 CASA ST STE 320
SAN LUIS OBISPO, CA
93405-1894

Practice Phone: 805-250-4844
Practice Fax: 805-785-0356

1831957125 — ADVENTIST HEALTH PHYSICIANS NETWORK
Practice Location Address:

35 CASA ST STE 320
SAN LUIS OBISPO, CA
93405-1894

Practice Phone: 805-316-3733
Practice Fax:

1174849517 — CHRISTINA SHAMARA MATHER MD
Practice Location Address:

2481 CLAY ST STE 202
SAN FRANCISCO, CA
94115-1894

Practice Phone: 628-244-8671
Practice Fax: 415-475-1144

1053332544 — NGOC-HOA THI CHAU PHARMACIST
Practice Location Address:

2559 S KING RD , SUITE 10
SAN JOSE, CA
95122-1894

Practice Phone: 408-532-1490
Practice Fax: 408-532-0899

Directions to “ BENJAMIN KEVIN HENDRICKS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.