Independence Health PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INDEPENDENCE HEALTH PC

Practice address

22712 Cottonwood
Mission Viejo, CA 92692-4721

Phone

(213) 720-4445

Fax

(844) 324-0805

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Benard Bennet, MD

Title

Owner

Phone

(919) 622-8272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard Leroy Bennett, MD

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1871568899
  Medicare reassignment

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1669942751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STANBRIDGE LN",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027420",
            "telephone_number": "919-622-8272",
            "fax_number": "844-324-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22712 COTTONWOOD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924721",
            "telephone_number": "213-720-4445",
            "fax_number": "844-324-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BENNET",
        "authorized_official_first_name": "BENARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-622-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Independence Physical Therapy
• Infinity Home Care
• Sueann Ingersoll, PNP, RN, IBCLC
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• Integrated Dermatology of Mission Viejo, Apmc

• Internal Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.