Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Gary Bennett, MD

Individual provider Dermatology Physician · NPI 1760416648

Richard Gary Bennett, MD is a Micrographic Dermatologic Surgery (Mds) in Santa Monica, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1970, 56 years ago. Practices with Richard G Bennett MD, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
56
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 20th St Ste 570
Santa Monica, CA 90404-2050
Phone: (310) 315-0171
Fax: (310) 828-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G50297 (CA)

Record details

NPI number1760416648
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1301 20th St, Suite 570, Santa Monica, CA 90404-2050

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1970 (56 years in practice)
Group practice Richard G Bennett Md — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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