Active NPI
Marc Alan Benard, DPM
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
National Provider Identifier
1003013566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2178
- Practice address
- 3812 Sepulveda Blvd
Suite 530
Torrance, CA 90505-2413 - Phone
- (310) 530-8001
- Fax
- (310) 375-1386
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2178 | CA | Primary |
Addresses
Primary practice location
3812 Sepulveda Blvd
Suite 530
Torrance, CA 90505-2413
Mailing address
3812 Sepulveda Blvd
Suite 530
Torrance, CA 90505-2413
Phone (310) 530-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2178 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack Morgan, DPM, Inc a Professional Corporation | Foot & Ankle Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sangab-372b8737
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Monterey Park, CA
- NPI 1114086907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003013566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 SEPULVEDA BLVD",
"address_2": "SUITE 530",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052413",
"telephone_number": "310-530-8001",
"fax_number": "310-375-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 SEPULVEDA BLVD",
"address_2": "SUITE 530",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052413",
"telephone_number": "310-530-8001",
"fax_number": "310-375-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENARD",
"first_name": "MARC",
"middle_name": "ALAN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.