Active NPI
Shelby L Bentz, M.D.
- Anesthesiology Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G80199
- Practice address
- 4105 Empire Dr
Bakersfield, CA 93309-0637 - Phone
- (661) 325-1900
- NPI assigned
- Sep 22, 2005
- Last updated
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G801990 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80199 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hullander and Mozingo LP | Current | Accepting new patients | |
| Hullander and Mozingo LP | Anesthesiology | Current | Accepting new patients |
| Sillect Anesthesia Group Corp | Anesthesiology | Current | Accepting new patients |
| Quick Picc Nursing Corporation | Current | Accepting new patients | |
| Tam Oshanter Medical Group Inc | Past | 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.
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Anesthesiology
-
dba Sillect Anesthesia Group
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-
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-
dba Pacific Pain Physicians
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- NPI 1033606553
-
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- NPI 1821753419
-
- Specialist
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- NPI 1881728327
-
- Anesthesiology Physician
- Stockton, CA
- NPI 1700836988
-
- Pediatric Anesthesiology Physician
- Bakersfield, CA
- NPI 1356542823
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.