John Michael Bennett (NPI# 1063585552, PAC ID# 7517153216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1063585552 |
| PAC ID by PECOS | 7517153216 |
| Professional Enrollment ID | I20101119000983 |
| Full Name | John Michael Bennett |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Address |
145 Thunder Dr Vista CA 92083-6010 |
| Phone Number | 7609419002 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9931143799 |
| Number of Group Practice Members | 125 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050128 | TRI-CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 145 Thunder Dr, Vista, CA 92083-6010 | 7609419002 | CENTERS FOR FAMILY MEDICINE |
| Organization Legal Name | CENTERS FOR FAMILY MEDICINE |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rae Park | Family Medicine | Centers for Family Medicine | 10601 Walker St, Suite 250, Cypress, CA 90630-4733 |
| Au-co Ly Nguyen | Family Medicine | Centers for Family Medicine | 13930 Seal Beach Blvd, Seal Beach, CA 90740-5301 |
| Faranak Chloe Ghazi | Family Medicine | Centers for Family Medicine | 29873 Santa Margarita Pkwy, Suite 100, Rancho Santa Margarita, CA 92688-3626 |
| Bassam R Bilal | Internal Medicine | Centers for Family Medicine | 30281 Golden Lantern, Laguna Niguel, CA 92677-5979 |
| Dora Akuetteh Saforo | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Shahnoos Mahdavi | Internal Medicine | Centers for Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720-2334 |
| Gary Paul Korff | Family Medicine | Centers for Family Medicine | 2562 State St D, Carlsbad, CA 92008-1663 |
| Lothar Mcmillian | Family Medicine | Centers for Family Medicine | 724 S El Camino Real, San Clemente, CA 92672-4250 |
| Lizander C Pandy | Family Medicine | Centers for Family Medicine | 32312 Camino Capistrano, San Juan Capistrano, CA 92675-4518 |
| Elmo M Agatep | Family Medicine | Centers for Family Medicine | 1198 Pacific Coast Hwy, Suite I, Seal Beach, CA 90740-6248 |
| Street Address |
145 THUNDER DR |
| City | VISTA |
| State | CA |
| Zip | 92083-6010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dora Akuetteh Saforo | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Gary L Kobayashi | Internal Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Amad E Kadry | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Chunjai Powell Clarkson | Obstetrics/gynecology | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Saeed Afaneh | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Hugh Kenneth Hodsman | Family Medicine | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Kevin T Seufert | Family Practice | Centers for Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaminah Espinosa-silva | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| David M Chaffee | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Sophia L Bradley | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Mark A Peterson | Physical Therapy | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Christine A Strohmeyer | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Richard H Lovell | Family Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Alexander Mendivil | Emergency Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Kathryn N Sullivan | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Russe E.m. Laxa | Nurse Practitioner | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Reyzan E Shali | Internal Medicine | Scripps Health | 130 Cedar Rd, Vista, CA 92083-5102 |
| Find all physicians in zip 92083 | |||
| City | VISTA |
| Zip Code | 92083 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | VISTA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on John Michael Bennett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.