Individual provider Active NPI

James Bennett, M.D.

  • Pediatrics Physician
  • Monterey, CA
National Provider Identifier
1427173061
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G84345 Issued in CA
Practice address
1900 Garden Rd
Suite 110
Monterey, CA 93940-5373
Phone
(831) 372-5841
Fax
(831) 372-4820
NPI assigned
Mar 20, 2007
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G84345 CA Primary
Pediatric Adolescent Medicine Physician 2080A0000X G84345 CA

Addresses

Primary practice location

1900 Garden Rd
Suite 110
Monterey, CA 93940-5373

Mailing address

1900 Garden Rd
Suite 110
Monterey, CA 93940-5373
Phone (831) 372-5841

Other identifiers 1

IdentifierTypeStateIssuer
00G843450MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830002379 CA Practitioner - Pediatric Medicine 3274917992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Stanford University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LPCH Medical Group Div of LucileGroup PAC ID 0840298543, 332 clinicians

Practice addresses (Care Compare)

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G84345CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 4, 2022 Accepting new patients
Penn, Kanaya, Dwelle, MD's Pediatrics Past Accepting new patients
Swedish Health Services Past Accepting new patients
Dignity Health Past Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1427173061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD",
            "address_2": "SUITE 110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405373",
            "telephone_number": "831-372-5841",
            "fax_number": "831-372-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GARDEN RD",
            "address_2": "SUITE 110",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405373",
            "telephone_number": "831-372-5841",
            "fax_number": "831-372-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G84345",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G84345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G843450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.