Jonathan Ian Bennett, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4301 Issued in CA

Practice address

300 N Euclid St
Suite a
Fullerton, CA 92832-1623

Phone

(714) 888-6860

Fax

(714) 888-6867

NPI assigned

Sep 14, 2006

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Foot and Ankle Group IncGroup PAC ID 1658346978, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as group

Quality

62.38

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jbennett@ocfa.mdlogic.direct-ci.com

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

• Orange County Foot and Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Fullerton, CA
  • NPI 1639102833
  Medicare reassignment Care Compare group Authorized official
• Orange County Foot & Ankle Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Tustin, CA
  • NPI 1396929774
  NPD (past) Authorized official
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Orange County Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1982697678
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1497850325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST",
            "address_2": "SUITE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860",
            "fax_number": "714-888-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID ST",
            "address_2": "SUITE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321623",
            "telephone_number": "714-888-6860",
            "fax_number": "714-888-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JONATHAN",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E4301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Theodore Ben, PHARM D.
• Katrina Benavides
• Vanessa Benitez Vergara
• Benjamin Rothman a Pharmacy Corporation
• Janique Benjamin
• Octavia M Bennett
• Tomoya Monique Bennett
• Riley Bennyworth
• James L Benoit, M.D.
• Fonteshia Benson

• Foot & Ankle Surgery Podiatrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.