Active NPI
Gene Aldrich Bennetts, MD
- Pediatric Hematology & Oncology Physician
- Napa, CA
National Provider Identifier
1205081205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- G28488
- Practice address
- 10 Lupine Hill Road
Napa, CA 94558-3819 - Phone
- (707) 258-1845
- Fax
- (707) 258-8394
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | G28488 | CA | Primary |
Addresses
Primary practice location
10 Lupine Hill Road
Napa, CA 94558-3819
Mailing address
10 Lupine Hill Road
Napa, CA 94558-3819
Phone (707) 258-1845
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28488 | CA | MD | Pediatric Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1205081205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LUPINE HILL ROAD",
"city": "NAPA",
"state": "CA",
"postal_code": "945583819",
"telephone_number": "707-258-1845",
"fax_number": "707-258-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LUPINE HILL ROAD",
"city": "NAPA",
"state": "CA",
"postal_code": "945583819",
"telephone_number": "707-258-1845",
"fax_number": "707-258-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETTS",
"first_name": "GENE",
"middle_name": "ALDRICH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "CA",
"license": "G28488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.