JUSTIN DAVID BENNET (NPI# 1134299308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134299308 |
| Entity Type | Individual |
| Full Name | JUSTIN DAVID BENNET |
| Credential | MD PHD |
| Practice Address |
1505 Soquel Dr Suite12 Santa Cruz CA 95065-1716 |
| Mailing Address |
1505 Soquel Dr Suite 12 Santa Cruz CA 95065-1716 |
| Practice Telephone | 8317135050 |
| Practice Fax Number | 8314750101 |
| Mailing Telephone | 8317135050 |
| Mailing Fax Number | 8314750101 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101840379 | VA | Allopathic & Osteopathic Physicians |
| N | 207RI0008X |
Internal Medicine Specialization: Hepatology |
0101840379 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005847958 | 05 |
| Street Address |
1505 SOQUEL DR SUITE12 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326038787 | Elisabeth Siegler | Orthopaedic Surgery | 1505 Soquel Dr, Suite 1, Santa Cruz, CA 95065-1716 | 2005-10-26 |
| 1538601950 | Carolyn Slaughter | Advanced Practice Midwife | 1505 Soquel Dr, Ste. 1, Santa Cruz, CA 95065-1716 | 2016-11-16 |
| 1215488226 | Marian Elliot Acquistapace | Nurse Practitioner | 1505 Soquel Dr, Ste. 1, Santa Cruz, CA 95065-1716 | 2016-10-14 |
| 1427326859 | Monterey Bay Gastroenterology, PC | Specialist | 1505 Soquel Dr, Suite 12, Santa Cruz, CA 95065-1716 | 2011-12-13 |
| 1467683144 | Gerald Patrick O'grady, M.d., Inc. | Internal Medicine | 1505 Soquel Dr, Suite 7, Santa Cruz, CA 95065-1716 | 2009-07-29 |
| 1396903043 | Milan C. Patel, M.d., Inc. | Psychiatry & Neurology | 1505 Soquel Dr, Suite 5a, Santa Cruz, CA 95065-1716 | 2008-05-29 |
| 1700056280 | Thaila Ramanujam M D Inc | Specialist | 1505 Soquel Dr, Suite 9, Santa Cruz, CA 95065-1716 | 2008-03-11 |
| 1922211580 | Cyrus Kenneth Oster | Dentist | 1505 Soquel Dr, Suite 11, Santa Cruz, CA 95065-1716 | 2007-05-08 |
| 1710051578 | Terry Robert Schmunk | Dentist | 1505 Soquel Dr, Suite 11, Santa Cruz, CA 95065-1716 | 2006-11-20 |
| 1801999206 | Thaila Ramanujam | Specialist | 1505 Soquel Dr, Suite 9, Santa Cruz, CA 95065-1716 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336446210 | Donald Stanley Weaver | Internal Medicine | 2500 Glen Canyon Rd, Santa Cruz, CA 95060-1211 | 2011-02-11 |
| 1215016969 | Kourosh F. Ghassemi | Internal Medicine | 1662 Dominican Way, Santa Cruz, CA 95065-1522 | 2006-11-03 |
| 1407833254 | Joseph Boyd Palascak | Internal Medicine | 2850 Commercial Xing, Santa Cruz, CA 95065-1702 | 2005-12-22 |
| 1558612770 | Treta Purohit Goyal | Internal Medicine | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2012-09-27 |
| 1124100367 | Gordon Eliot Lee | Internal Medicine | 1505 Soquel Drive, Suite 8, Santa Cruz, CA 95065-1716 | 2006-10-19 |
| 1952369191 | Kuntal M Thaker | Internal Medicine | 2850 Commercial Crossing, Santa Cruz, CA 95065-1702 | 2006-05-03 |
| 1427038017 | Thomas Larson | Internal Medicine | 2850 Commercial Crossing, Santa Cruz, CA 95065-1702 | 2006-01-19 |
| 1609855741 | Geoffrey Bernstein | Internal Medicine | 2850 Commercial Crossing, Santa Cruz, CA 95065-1702 | 2006-01-16 |
| 1225015993 | Nicholas Niven | Internal Medicine | 1595 Soquel Dr, Suite 350, Santa Cruz, CA 95065-1719 | 2005-12-23 |
| 1851376297 | Zenowij Majuk | Internal Medicine | 1505 Soquel Dr, Suite 12, Santa Cruz, CA 95065-1716 | 2005-12-08 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.