Individual provider Active NPI

Shelby L Bentz, M.D.

  • Anesthesiology Physician
  • Bakersfield, CA
National Provider Identifier
1730175977
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G80199 Issued in CA
Practice address
4105 Empire Dr
Bakersfield, CA 93309-0637
Phone
(661) 325-1900
NPI assigned
Sep 22, 2005
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G80199 CA Primary

Addresses

Primary practice location

4105 Empire Dr
Bakersfield, CA 93309-0637

Mailing address

3434 Truxtun Ave Ste 275
Bakersfield, CA 93301-3044
Phone (661) 335-7755

Other practice location 1

1187 5th St
Los Osos, CA 93402-1207
Phone (805) 550-0757

Other identifiers 1

IdentifierTypeStateIssuer
00G801990MedicaidCA

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
I20090721000161 CA Practitioner - Anesthesiology 1153483326 Reassigns benefits to 2 organizations
Practice locations: Bakersfield, CA; San Luis Obispo, CA; Santa Maria, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80199CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Apr 6, 2023 Accepting new patients
Hullander and Mozingo LP Anesthesiology CurrentSince Apr 6, 2023 Accepting new patients
Sillect Anesthesia Group Corp Anesthesiology CurrentSince Jul 14, 2021 Accepting new patients
Quick Picc Nursing Corporation CurrentSince Nov 16, 2021 Accepting new patients
Tam Oshanter Medical Group Inc PastSince Oct 4, 2020 Accepting new patients
Morpheus Anesthesia Inc Anesthesiology Past Accepting new patients
Delta Radiology, Inc. Past Accepting new patients

Locations

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

2901 Sillect Ave
Ste 201
Bakersfield, CA 93308
Phone (661) 327-2101

3434 Truxtun Ave
Ste 275
Bakersfield, CA 93301

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1730175977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 TRUXTUN AVE STE 275",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013044",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 EMPIRE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090637",
            "telephone_number": "661-325-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1187 5th St",
            "address_purpose": "LOCATION",
            "city": "Los Osos",
            "state": "CA",
            "postal_code": "934021207",
            "country_code": "US",
            "telephone_number": "805-550-0757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "SHELBY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G80199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G801990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.