Active NPI
Barry a. Wertheimer, DPM
- Podiatrist
- Redondo Beach, CA
National Provider Identifier
1053582239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1248
- Legal business name
- BARRY A. WERTHEIMER, DPM
- Practice address
- 2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419 - Phone
- (310) 530-0544
- Fax
- (310) 793-1161
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry Armane Wertheimer, DPM
- Title
- Owner
- Phone
- (310) 530-0544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1248 | CA | Primary |
Addresses
Primary practice location
2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419
Mailing address
3571 Lariat LN
Rolling Hills Estates, CA 90274-2518
Phone (310) 544-3318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18617413379 | Other | CA | NPI INDIVIDUAL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1053582239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3571 LARIAT LN",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902742518",
"telephone_number": "310-544-3318",
"fax_number": "310-541-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 ARTESIA BLVD",
"address_2": "SUITE 204",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783419",
"telephone_number": "310-530-0544",
"fax_number": "310-793-1161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY A. WERTHEIMER, DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "WERTHEIMER",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "ARMANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-530-0544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E1248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "18617413379",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.