Jon Bennett DO Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20A7453 Issued in CA

Legal business name

JON BENNETT DO INC

Practice address

1211 W la Palma Ave
301
Anaheim, CA 92801-2815

Phone

(714) 284-0737

Fax

(714) 284-0720

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jon M. Bennett, D.O.

Title

President

Phone

(714) 655-8719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1285966283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928560809",
            "telephone_number": "714-560-1580",
            "fax_number": "714-560-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "301",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-284-0737",
            "fax_number": "714-284-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON BENNETT DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-655-8719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommie Johnson
• Zachary James Johnson, PT
• Karrie Johnston Feldman, M.S., LMFT
• Brittany Johnston
• Karin Johnston
• Gavin M. Jonas, MD
• Mayra Alejandra Jones-Betancourt, MD
• Antionette Shawnte Jones
• Christina Danielle Jones, MD
• Christine Jones, PSY.D.

• Anesthesiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.