Peter S. Birnbaum D.O. Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20A7133 Issued in CA

Legal business name

PETER S. BIRNBAUM D.O. INC

Practice address

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Phone

(714) 995-1531

Fax

(714) 995-8194

NPI assigned

Jan 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter S Birnbaum, DO

Title

President

Phone

(714) 995-1531

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Peter S Birnbaum DO Inc

  • Orthopaedic Surgery Physician
  • Anaheim, CA
  • NPI 1295815280

  O20080414000618

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1093990665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "SUITE 403",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-995-1531",
            "fax_number": "714-995-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "714-995-1531",
            "fax_number": "714-995-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S. BIRNBAUM D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-995-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A7133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christian Avery Peters
• Bailey Petersen, NONE
• Moniquie Peterson
• Kornelia L Petrova, DDS
• John Alexander Petrucci, DO

• Orthopaedic Surgery Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.