DR. JONATHAN IAN BENNETT (NPI# 1497850325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497850325 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN IAN BENNETT |
| Credential | D.P.M. |
| Practice Address |
300 N Euclid St Suite A Fullerton CA 92832-1623 |
| Practice Telephone | 7148886860 |
| Practice Fax Number | 7148886867 |
| Mailing Telephone | 7148886860 |
| Mailing Fax Number | 7148886867 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4301 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | E4301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479171 | Jonathan James Bennett | Student in an Organized Health Care Education/Training Program | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2019-04-15 |
| 1821572140 | Jonathan Antonio Bennett Jr. | Counselor | 110 Ye Olde Kings Hwy, North Myrtle Beach, SC 29582-4384 | 2018-09-21 |
| 1588152813 | Jonathan Richard Bennett | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-04-23 |
| 1881017572 | Jonathan Bennett | Counselor | 2210 Clay St, San Francisco, CA 94115-1930 | 2014-01-31 |
| 1619238201 | Jonathan David Bennett | Surgery | 417 N 11th St, Richmond, VA 23298-5002 | 2012-05-31 |
| 1659504645 | Jonathan Lee Bennett | Nurse Anesthetist, Certified Registered | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2009-08-25 |
| 1073734794 | Jonathan Christopher Bennett | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2007-05-01 |
| 1639260904 | Jonathan E. Bennett | Emergency Medicine | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| 1740228501 | Jonathan C Bennett | Nurse Anesthetist, Certified Registered | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2006-06-03 |
| Street Address |
300 N EUCLID ST SUITE A |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639102833 | Orange County Foot and Ankle Group, Inc. | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2006-07-09 |
| 1275180408 | Alcam Medical Inc | Prosthetic/Orthotic Supplier | 300 N Euclid St, Fullerton, CA 92832-1623 | 2019-08-22 |
| 1174848568 | Serra Eugenie Park Ryu | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2010-03-29 |
| 1891949426 | Corey M Lejeune | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2008-11-10 |
| 1336237015 | Stephanie J Nanson | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639102833 | Orange County Foot and Ankle Group, Inc. | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2006-07-09 |
| 1144211889 | Dale M Rosenblum | Podiatrist | 704 N Harbor Blvd, Fullerton, CA 92832-1520 | 2005-11-02 |
| 1881187755 | Eric Naasz, Dpm Inc | Podiatrist | 704 N Harbor Blvd, Fullerton, CA 92832-1520 | 2018-06-14 |
| 1891949426 | Corey M Lejeune | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2008-11-10 |
| 1083870315 | Dale M. Rosenblum, Dpm Inc | Podiatrist | 704 N Harbor Blvd, Fullerton, CA 92832-1520 | 2008-08-06 |
| 1053571828 | Lisbeth Marie Keplinger | Podiatrist | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 | 2008-06-14 |
| 1336237015 | Stephanie J Nanson | Podiatrist | 300 N Euclid St, Suite A, Fullerton, CA 92832-1623 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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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.