MONTEREY BAY GASTROENTEROLOGY, PC
NPI 1427326859
Specialist in Santa Cruz, CA

Q: What is Monterey Bay Gastroenterology, PC's NPI number?

The NPI number for Monterey Bay Gastroenterology, PC is 1427326859. It was assigned to this organization in the NPPES registry on December 13, 2011.

Q: What is Monterey Bay Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 13, 2011

1505 SOQUEL DR, SUITE 12, SANTA CRUZ, CA 95065(831) 713-5050(831) 475-0101 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Monterey Bay Gastroenterology, Pc NPPES

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

MONTEREY BAY GASTROENTEROLOGY, PC (NPI 1427326859) is a healthcare organization registered as a specialist in Santa Cruz, California and active in the NPI registry since December 2011. The organization lists Justin Bennet, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1427326859

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMONTEREY BAY GASTROENTEROLOGY, PC

Location Address1505 SOQUEL DR, SUITE 12Santa Cruz, CA 95065-1716

Mailing Address1505 Soquel Dr, Suite 12Santa Cruz, CA 95065-1716 · (831) 713-5050 · Fax (831) 475-0101

Phone(831) 713-5050

Fax(831) 475-0101

Organization SubpartNo

Authorized OfficialJustin BennetVice-president · (831) 713-5050

Enumeration DateDecember 13, 2011

✔ NPI 1427326859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1505 SOQUEL DR, Santa Cruz, CA 95065

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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monterey Bay Gastroenterology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20120419000243Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Monterey Bay Gastroenterology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Bennet, MD PHD

Gastroenterology

NPI 1134299308

1505 SOQUEL DR SUITE12
Santa Cruz, CA 95065

(831) 713-5050

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Monterey Bay Gastroenterology, PC's NPI number?

The NPI number for Monterey Bay Gastroenterology, PC is 1427326859. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Monterey Bay Gastroenterology, PC located?

Monterey Bay Gastroenterology, PC is located at 1505 Soquel Dr Suite 12, Santa Cruz, CA 95065. The listed phone number is (831) 713-5050.

What is Monterey Bay Gastroenterology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Monterey Bay Gastroenterology, PC enrolled in Medicare?

Yes. Monterey Bay Gastroenterology, PC is registered in the Medicare PECOS enrollment system.

When is Monterey Bay Gastroenterology, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Monterey Bay Gastroenterology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Monterey Bay Gastroenterology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Monterey Bay Gastroenterology, PC was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.