Organization Active NPI

Barry a. Wertheimer, DPM

  • Podiatrist
  • Redondo Beach, CA
National Provider Identifier
1053582239
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1248 Issued in CA
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

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
18617413379OtherCANPI INDIVIDUAL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.