Provider Demographics
NPI:1336359959
Name:JOHN SARANTO MD AND SCOTT BENNINGHOVEN MD A JOINT VENTURE
Entity Type:Organization
Organization Name:JOHN SARANTO MD AND SCOTT BENNINGHOVEN MD A JOINT VENTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WALD
Authorized Official - Last Name:BENNINGHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-848-3799
Mailing Address - Street 1:8833 MONTEREY RD STE F
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-7200
Mailing Address - Country:US
Mailing Address - Phone:408-848-3799
Mailing Address - Fax:408-848-5490
Practice Address - Street 1:8833 MONTEREY RD STE F
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-7200
Practice Address - Country:US
Practice Address - Phone:408-848-3799
Practice Address - Fax:408-848-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50118208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty