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BENNETT SURGERY CENTERS A MEDICAL CORP
NPI 1174679260
Dermatology in Santa Monica, CA

Active since January 25, 2007CLIA 05D0689131 · Certificate of Compliance
1301 20TH ST, SUITE 570, SANTA MONICA, CA 90404(310) 315-0171(310) 828-6647 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennett Surgery Centers A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENNETT SURGERY CENTERS A MEDICAL CORP (NPI 1174679260) is a healthcare organization registered as a dermatology in Santa Monica, California and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 19, 2027 and lists Richard Gary Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1174679260
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBENNETT SURGERY CENTERS A MEDICAL CORP
Location Address1301 20TH ST, SUITE 570Santa Monica, CA 90404
Mailing Address1301 20th St, Suite 570Santa Monica, CA 90404 · (310) 315-0171 · Fax (310) 828-6647
Phone(310) 315-0171
Fax(310) 828-6647
Organization SubpartNo
Authorized OfficialRichard Gary BennettOwner · (310) 315-0171
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJanuary 18, 2010
✔ NPI 1174679260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1301 20TH ST, Santa Monica, CA 90404
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0689131

Bennett Surgery Center · Santa Monica, CA
Active · expires Feb 19, 2027
CLIA Number05D0689131
Laboratory TypeOutpatient Clinic
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorRichard G. Bennett
Laboratory Phone(310) 315-0171
Laboratory LocationBennett Surgery Center1301 20th St, Ste 570, Santa Monica, CA 90404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL W CHEN M.D.
Plastic Surgery
1301 20TH ST, SUITE 570
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0171
DR. DANIEL WOHLGELERNTER M.D.
Specialist
1301 20TH ST, SUITE 590
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0101
JAMES L. ANASTASI, M.D., INC.
Clinic/Center (Primary Care)
1301 20TH ST, SUITE 550
SANTA MONICA, CA 90404
Los Angeles County (310) 829-3544
SANTA MONICA ORTHOPAEDIC GROUP
Orthopaedic Surgery (Sports Medicine)
1301 20TH ST, 150
SANTA MONICA, CA 90404
Los Angeles County (310) 829-2663
DR. PARVIZ D. AFSHANI M.D.
Internal Medicine (Gastroenterology)
1301 20TH ST, SUITE 280
SANTA MONICA, CA 90404
Los Angeles County (310) 829-6789
BERNARD GELLER M D ALLERGY & CLINICAL IMMUNOLOGY
Allergy & Immunology
1301 20TH ST, SUITE 220
SANTA MONICA, CA 90404
Los Angeles County (310) 828-8534
JOHN LAWRENCE GARWOOD MD A MEDICAL
Ophthalmology
1301 20TH ST, SUITE 250
SANTA MONICA, CA 90404
Los Angeles County (310) 828-7494
MARK NACHMAN MD
Internal Medicine
1301 20TH ST, STE 290
SANTA MONICA, CA 90404
Los Angeles County (310) 315-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bennett Surgery Centers A Medical Corp's NPI number?

The NPI number for Bennett Surgery Centers A Medical Corp is 1174679260. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Bennett Surgery Centers A Medical Corp located?

Bennett Surgery Centers A Medical Corp is located at 1301 20th St Suite 570, Santa Monica, CA 90404. The listed phone number is (310) 315-0171.

What is Bennett Surgery Centers A Medical Corp's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Bennett Surgery Centers A Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0689131) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bennett Surgery Centers A Medical Corp was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.