WILLIAM RUSSELL MURRAY BENNETT (NPI# 1568542462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568542462 |
| Entity Type | Individual |
| Full Name | WILLIAM RUSSELL MURRAY BENNETT |
| Other Name | W R MURRAY BENNETT |
| Credential | MD |
| Practice Address |
1000 Vale Terrace Dr Vista CA 92084-5218 |
| Practice Telephone | 7606315000 |
| Practice Fax Number | 7604143702 |
| Mailing Telephone | 7606315000 |
| Mailing Fax Number | 7604143702 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
C55097 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C55097 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
C55097 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0175022 | 01 |
| WA | 1568542462 | 05 | |
| WA | RAIL ROAD MEDICARE | 260038698 | 01 |
| INTERNAL ID-MOTOR VEHICLE ID | 3129 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1265811343 | William Bennett | Physician Assistant | 474 W Lake Dr, Brick, NJ 08724-1571 | 2015-05-22 |
| 1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
| 1407906654 | William A Bennett | Podiatrist | 2085 Inland Dr, Suite B, North Bend, OR 97459-1203 | 2007-01-11 |
| 1972663300 | William Bennett | Family Medicine | 325 Kennedy Memorial Dr # C, Waterville, ME 04901-4517 | 2006-12-08 |
| 1811909427 | William P Bennett | Dentist | 324 Center Ave, Weston, WV 26452-2031 | 2006-08-12 |
| 1124038823 | William H. Bennett | Optometrist | 417 W Market St, Orrville, OH 44667-1822 | 2006-08-08 |
| 1598714834 | William E Bennett | Specialist | 415 Devonia St, Suite 301, Harriman, TN 37748-2025 | 2006-05-06 |
| 1528041365 | William Thomas Bennett | Emergency Medicine | 1 Compass Way Ste 102, East Bridgewater, MA 02333-1464 | 2005-11-25 |
| 1073519047 | William Michael Bennett | Podiatrist | 13935 Plumbrook Road, Sterling Heights, MI 48312 | 2005-06-24 |
| Street Address |
1000 VALE TERRACE DR |
| City | VISTA |
| State | CA |
| Zip Code | 92084-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575888 | Debra S Edson | Dentist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2005-08-16 |
| 1366053548 | Julie Ann Mistretta | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-08-12 |
| 1528686318 | Nienke Aiko Sahelijo | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2020-07-08 |
| 1457995706 | Kaliana Chamberlin | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-10-30 |
| 1609423342 | Mary Ann Parales | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-08-19 |
| 1083268023 | An Nhi Thi Vo | Pharmacist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-07-29 |
| 1508427899 | Sara Tousi | Social Worker | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-06-26 |
| 1316501562 | Vista Community Clinic | Case Manager/Care Coordinator | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-04-23 |
| 1205391703 | Olga R Jackson | Nurse Practitioner | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-02-08 |
| 1942776166 | Angelica Aguilera Fox | Dental Hygienist | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2018-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483421 | James Foster | Community Health Worker | 1020 S Santa Fe Ave Ste B1, Vista, CA 92084 | 2018-07-17 |
| 1750766192 | Olivia Del Valle | Dental Hygienist | 1000 Vale Tarrace, Vista, CA 92084 | 2015-07-28 |
| 1609288497 | May Tom | Dietitian, Registered | 29402 Spa Havens Way, Vista, CA 92084 | 2014-05-28 |
| 1972924454 | Erica Harris | Student in an Organized Health Care Education/Training Program | 300 Michigan Ave, Vista, CA 92084 | 2013-12-30 |
| 1023392008 | Timothy Wong | Pharmacist | 802 S Santa Fe Ave, Vista, CA 92084 | 2011-10-07 |
| 1811296288 | Jennifer Prince | Family Medicine | 1000 Vale Terrance Dr, Vista, CA 92084 | 2011-03-24 |
| 1093948424 | Deborah Denise Butcher | Psychologist | 1259 Sugarbush Drive, Vista, CA 92084 | 2009-09-02 |
| 1699922062 | Patricia Kay Oquist | Marriage & Family Therapist | 1370 Barbara Drive, Vista, CA 92084 | 2008-08-27 |
| 1376715045 | Steve Michael Nave | Dentist | 933 A Vale Terrace Drive, Vista, CA 92084 | 2008-04-02 |
| 1780868844 | Randell Brandon Murphy | Counselor | 1010 E Vista Way Suite F, Vista, CA 92084 | 2007-12-26 |
| Find all providers in zip 92084 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538365309 | Larissa Lacorte | Psychiatry & Neurology | 780 Shadowridge Drive, Vista, CA 92083 | 2007-06-26 |
| 1437215621 | James Erwin Adams | Psychiatry & Neurology | 2120 Thibodo Ct. Ste. 230, Vista, CA 92081 | 2006-12-29 |
| 1063580587 | Paula A Proffitt | Psychiatry & Neurology | 550 W Vista Wy, #407, Vista, CA 92083 | 2006-12-01 |
| 1114952876 | Leor Matalon | Psychiatry & Neurology | 440 S Melrose Dr Ste 201, Vista, CA 92081-6666 | 2006-07-11 |
| 1083650535 | Josefa Badar Licas | Psychiatry & Neurology | 2120 Thibodo Ct, Suite 230, Vista, CA 92081-7965 | 2006-06-22 |
| 1942284666 | Ji Hyung Yoo | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2005-12-06 |
| 1275863854 | Brenda Erickson | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2010-01-05 |
| 1083854558 | Elise A Reed | Psychiatry & Neurology | 2023 West Vista Way, Suite K-2, Vista, CA 92083-6030 | 2009-02-24 |
| 1114188646 | Garth Stephen Watkins | Psychiatry & Neurology | 780 Shadowridge Dr, Vista, CA 92083-7986 | 2008-06-18 |
| 1952569063 | Muralikrishnan Parthasarathy | Psychiatry & Neurology | 2120 Thibodo Rd, Ste# 230, Vista, CA 92081-7901 | 2008-05-26 |
| Find all providers in VISTA | ||||
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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.