Organization Active NPI

Gil Bender, MD Inc.

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
National Provider Identifier
1760738736
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G79285 Issued in CA
Legal business name
GIL BENDER, MD INC.
Practice address
18344 Clark St
Suite 202
Tarzana, CA 91356-3505
Phone
(562) 508-9667
Fax
(562) 391-4410
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Dr. Gil Bender, MDNPI 1821032202
Title
Chairman
Phone
(562) 508-9667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G79285 CA Primary

Addresses

Primary practice location

18344 Clark St
Suite 202
Tarzana, CA 91356-3505

Mailing address

3561 Iris Cir
Seal Beach, CA 90740-3121
Phone (562) 508-9667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000562 CA Part B Supplier - Clinic/Group Practice 1153570155 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18344 Clark St
Ste 202
Tarzana, CA 91356
Phone (562) 508-9667

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1760738736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 IRIS CIR",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907403121",
            "telephone_number": "562-508-9667",
            "fax_number": "562-391-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18344 CLARK ST",
            "address_2": "SUITE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563505",
            "telephone_number": "562-508-9667",
            "fax_number": "562-391-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIL BENDER, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "562-508-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G79285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.