Edward Salisbury Bentley, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G39573 Issued in CA

Practice address

2403 Castillo St Ste 201
Santa Barbara, CA 93105-5316

Phone

(805) 682-3585

Fax

(805) 682-4072

NPI assigned

Jan 11, 2007

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285784207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-682-3585",
            "fax_number": "805-682-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 CASTILLO ST STE 201",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931055316",
            "telephone_number": "805-682-3585",
            "fax_number": "805-682-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "EDWARD",
        "middle_name": "SALISBURY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G39573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G395730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Bennison, MD
• Ori Benoni
• Jeoffrey P Benson, M.D.
• Lisa Michelle Benson, PSY.D.
• Caitlin Benstead
• Delice R. Benyat
• James Maguire Benzian, M.D.
• Lurleen M Benzian, MD
• Jacqueline Beraldo, FNP, MFT
• Juliet Dollres White Berardinelli

• Gastroenterology Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Gastroenterology Physician in California

• 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.

Verify at the official NPI Registry.