SAN BENITO HEALTH FOUNDATION
NPI 1295810174
Clinic/Center - Rural Health in Hollister, CA
About San Benito Health Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN BENITO HEALTH FOUNDATION (NPI 1295810174) is a healthcare organization registered as a rural health in Hollister, California and active in the NPI registry since October 2006. The organization lists Rosa Vivian Fernandez, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
San Benito Health Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to San Benito Health Foundation, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is San Benito Health Foundation's NPI number?
The NPI number for San Benito Health Foundation is 1295810174. It was assigned to this organization in the NPPES registry on October 26, 2006.
Where is San Benito Health Foundation located?
San Benito Health Foundation is located at 351 Felice Dr, Hollister, CA 95023. The listed phone number is (831) 637-5306.
What is San Benito Health Foundation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is San Benito Health Foundation enrolled in Medicare?
Yes. San Benito Health Foundation is registered in the Medicare PECOS enrollment system.
When is San Benito Health Foundation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through San Benito Health Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to San Benito Health Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (4), Family Practice (4) and Nurse Practitioner (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for San Benito Health Foundation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# San Benito Health Foundation · NPI 1295810174
Rural Health organization in Hollister, California. Organization record, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1295810174 (Entity type: Organization)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Rosa Fernandez, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 351 FELICE DR, Hollister, CA 95023-3361
- **Phone:** (831) 637-5306 · **Fax:** (831) 637-9640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (4), Family Practice (4), Nurse Practitioner (2); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other FHC03872F (CA); Other EAP03872F (CA); Medicaid HAP03872F (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1295810174) · Data from the CMS NPPES public registry.