Active NPI
Peter Herwitt, M.D.
- Diagnostic Radiology Physician
- Palos Verdes Estates, CA
National Provider Identifier
1023223757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G23669
- Practice address
- 3105 Paseo del Campo
Palos Verdes Estates, CA 90274-1034 - Phone
- (310) 339-1514
- Fax
- (310) 375-8176
- NPI assigned
- May 14, 2007
- Last updated
- Oct 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G23669 | CA | Primary |
Addresses
Primary practice location
3105 Paseo del Campo
Palos Verdes Estates, CA 90274-1034
Mailing address
3105 Paseo del Campo
Palos Verdes Estates, CA 90274-1034
Phone (310) 339-1514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23669 | CA | MD | Family Medicine Physician |
| G23669 | CA | MD | Diagnostic Radiology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Palos Verdes Estates, CA
- NPI 1740442045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1023223757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 PASEO DEL CAMPO",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741034",
"telephone_number": "310-339-1514",
"fax_number": "310-375-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 PASEO DEL CAMPO",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902741034",
"telephone_number": "310-339-1514",
"fax_number": "310-375-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERWITT",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G23669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Verdes Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.