Individual provider Active NPI

Vincent J Bennett, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1982650776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G75983 Issued in CA
Practice address
1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone
(323) 913-4892
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G75983 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Los Angeles, CA 90027-6005

Mailing address

3315 Ocean Front Walk
Marina del Rey, CA 90292-7806
Phone (310) 745-1453

Other identifiers 1

IdentifierTypeStateIssuer
00G759830MedicaidCA

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
I20040315001384 CA Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Internal Medicine 5496644478 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Howard University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean Life Medical Group IncGroup PAC ID 6608208533, 2 clinicians

Practice addresses (Care Compare)

Santa Clarita, CA 91350
Phone (661) 289-1154

10200 Sepulveda Blvd
Suite 140
Mission Hills, CA 91345-3323
Phone (818) 433-6955

19809 Lanfranca Dr
Santa Clarita, CA 91350-3898

5450 Lincoln Blvd
Los Angeles, CA 90094-2002
Phone (310) 305-9200

Hospital & facility affiliations

  • Vast Home Health, Inc Home health agency, Burbank, CA, CCN 559036
  • Brightstar Home Health, Inc Home health agency, North Hollywood, CA, CCN 559286
  • Rejuvenate Home Health Inc. Home health agency, Burbank, CA, CCN 757000
  • Belmont Home Health Care, Inc Home health agency, Encino, CA, CCN 559760
  • Meridian Home Health Care Inc. Home health agency, Van Nuys, CA, CCN 757587
  • Town Center Hospice Care Hospice, Porter Ranch, CA, CCN A11704
  • Progress Palliative Care Inc Hospice, Burbank, CA, CCN B41762

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75983CAMDPharmacist
G75983CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Beach Medical Center Inc CurrentSince Jun 27, 2020 Accepting new patients
KND Development 59 LLC CurrentSince Apr 1, 2012 Accepting new patients
One Mission Medical Inc CurrentSince Dec 15, 2021 Accepting new patients
Ocean Life Medical Group Inc CurrentSince Oct 15, 2019 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jan 1, 2019 Accepting new patients
California Em-I Medical Services Emergency Medicine Past Accepting new patients
Evergreen Spine and Pain Centers PastSince Dec 15, 2021 Accepting new patients
Sierra Rural Physicians, Inc. Emergency Medicine Past Accepting new patients
Southern California Pulmonologists and Intensivists Network Past Accepting new patients
Central California Radiology Associates Inc Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

3605 Long Beach Blvd
Ste 405
Long Beach, CA 90807
Phone (562) 424-8000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

4712 Admiralty Way
#574
Marina del Rey, CA 90292

10200 Sepulveda Blvd
Ste 140
Mission Hills, CA 91345
Phone (818) 433-6955

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427

5450 Lincoln Blvd
Playa Vista, CA 90094
Phone (310) 305-2800

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982650776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 OCEAN FRONT WALK",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927806",
            "telephone_number": "310-745-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-913-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G75983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G759830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.