Gary Bennett M.D. Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G40059 Issued in CA

Legal business name

GARY BENNETT M.D. INC

Practice address

2601 E Chapman Ave
Orange, CA 92869

Phone

(714) 633-0011

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Coffman

Title

Biller

Phone

(714) 547-3346

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1003020074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E 17TH ST STE 118",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058627",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92869",
            "telephone_number": "714-633-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BENNETT M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "714-547-3346"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G40059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Garoian, DDS
• Gary Garoian, D.D.S.
• Claude Garrett
• Marguerite Garrison, WHNP
• Susana Garsilazo-Flores, LCSW
• Gary Toler (Willie's Specialty Shop)
• Ashlyn Gary
• Catalina Garza
• Eric Garza
• Jacquelyne Danielle Garza, MSW, ASW

• Pain Medicine (Anesthesiology) Physician in Orange, CA
• Providers in Orange, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.