Richard G Bennett MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RICHARD G BENNETT MD

Practice address

1301 20TH St
Suite 570
Santa Monica, CA 90404

Phone

(310) 315-0171

Fax

(310) 828-6647

NPI assigned

Jan 25, 2007

Last updated

Sep 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Gary Bennett, MDNPI 1760416648

Title

Owner

Phone

(310) 315-0171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Gary Bennett, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1760416648
  Medicare reassignment Care Compare group NPD Authorized official
• Mohsen Behrang Baghchechi, MD

  • Student in an Organized Health Care Education/Training Program
  • Riverside, CA
  • NPI 1366021800
  Medicare reassignment Care Compare group NPD
• Dana Grenier Holcomb, MD

  • Specialist
  • Pacific Palisades, CA
  • NPI 1619914967
  Medicare reassignment Care Compare group NPD
• Elisabeth K Shim, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1518013689
  Medicare reassignment Care Compare group NPD
• Sagar P Patel, MD

  • MOHS-Micrographic Surgery Physician
  • Dallas, TX
  • NPI 1669988846

  CA, Dermatology

  Medicare reassignment Care Compare group NPD
• Steven Chow, MD

  • Dermatology Physician
  • Upland, CA
  • NPI 1720131741
  Medicare reassignment NPD
• Amit Om, M.D.

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1336599232

  CA

  Medicare reassignment NPD
• Jiasen Wang, MD

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1760045355

  CA

  Medicare reassignment NPD
• Vivian Liu, MD

  • Dermatology Physician
  • Santa Monica, CA
  • NPI 1386225787
  Care Compare group NPD
• Michael W Chen, M.D.

  • Plastic Surgery Physician
  • Santa Monica, CA
  • NPI 1003078338
  NPD (past)
• Jeremy Cameron Davis, M.D.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1013232537
  NPD (past)
• Michael Babak Mortazie, DO

  • MOHS-Micrographic Surgery Physician
  • Orange, CA
  • NPI 1457616914
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1467508523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 570",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-315-0171",
            "fax_number": "310-828-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 570",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-315-0171",
            "fax_number": "310-828-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD G BENNETT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-315-0171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rial, RD
• Ricardo Carrau, MD, Inc.
• Ricardo Raschkovsky, DDS, Ms, Inc
• J Ronald Rich, MD
• Richard Friedman M.D. Inc.
• Richard J. Rho, M.D., Inc.
• Richard P Frieder MD
• Richard P Frieder MD Apc
• Amy Marshall Richards, MD
• Lori Beth Richards, LMFT

• Dermatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.