Keith Bentley

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1907 Border Ave
Torrance, CA 90501-3606

Phone

(844) 443-6246

NPI assigned

Dec 31, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.bentley.1@24989.direct.athenahealth.com
• Direct secure messaging: kbentley1507398@nychhc.direct-ci.com

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.

• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment NPD
• Carlos a. Smith, M.D, Professional Corporation

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1710690433
  Medicare reassignment
• Mobile Medical Care PC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1376297119
  Medicare reassignment
• Mobile Medical Healthcare, P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1679185904
  Medicare reassignment
• U of R Neurology Department

  • Neurology Physician
  • Rochester, NY
  • NPI 1184725525
  Medicare reassignment
• University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1093354573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 30TH ST APT 16B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 BORDER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013606",
            "telephone_number": "844-443-6246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 E 30th St Apt 16B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100167381",
            "country_code": "US",
            "telephone_number": "508-728-9948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16-61 CENTRE STREET",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "11385",
            "country_code": "US",
            "telephone_number": "844-443-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "KEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Bennett
• Tracy Eileen Bennett, MFT
• Melissa Benoit
• Adam S Benson, RTC
• Alexa Anne Benson, N.P.
• Kristine Benz
• Marlene Camille Beranek, RNC, MN, NNP-BC
• Tracy E Bercu, MD
• Kevin Bergen, MFT
• Jeffrey Ira Berger, D.M.D.

• Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.