Alan Charles Bennett, M.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

171M00000X Issued in CA

Practice address

1300 S Grand Ave
Santa Ana, CA 92705-4434

Phone

(714) 567-7635

Fax

(714) 834-7182

NPI assigned

Feb 13, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1235307232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11526",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927111526",
            "telephone_number": "714-567-7635",
            "fax_number": "714-834-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054434",
            "telephone_number": "714-567-7635",
            "fax_number": "714-834-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ALAN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER SERVICES PROVIDER",
            "identifier": "17",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Mary Benison-Glover, LVN
• Cecilia Benitez
• Veronica Benitez, PH.D.
• Benjamin Medical Clinic
• Diane Benjamin
• Deborah Bennett, PHN
• Niki Dean Bennett
• Rachel Bennett
• Taya Bennett
• Luke Lazar Benoit

• Case Manager/Care Coordinator in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.