Norman Warren Weinstein, M.D.
Individual provider Active NPI Psychiatry Physician · Woodside, CA
NPI 1194968032 · NPPES record last updated Oct 1, 2014
Key facts
- NPI
- 1194968032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G19132 (CA)
- Practice address
- 669 Lake Wilhaggin Drive
Suite M
Woodside, CA 94062-2553 - Phone
- (916) 570-3029
- Fax
- (916) 570-3029
- NPI assigned
- Apr 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19132 | CA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G19132 | CA | Yes |
Addresses
Primary practice location
669 Lake Wilhaggin Drive
Suite M
Woodside, CA 94062-2553
Mailing address
669 Lake Wilhaggin Dr
Suite M
Sacramento, CA 95864-7226
Phone (916) 570-3029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G19132 | Other | CA | CALIFORNIA STATE MEDICAL LICENSE |
Other providers in Woodside, CA
- T. Warren Schweitzer MD Inc
- The Village Doctor
- Kali Rose Tileston
- Sarah M Vincenzo
- Virginia Warden
- Michael M Wick
- Woodside Village Pharmacy
- Joseph A Zammuto
All providers in Woodside, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.