Peter M. Birnstein, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G22732 Issued in CA

Practice address

2811 Wilshire Blvd Ste 800
Santa Monica, CA 90403-4808

Phone

(310) 453-6361

Fax

(310) 453-6383

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1255365508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 800",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034808",
            "telephone_number": "310-453-6361",
            "fax_number": "310-453-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD STE 800",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034808",
            "telephone_number": "310-453-6361",
            "fax_number": "310-453-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNSTEIN",
        "first_name": "PETER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G227320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diane Black, L.AC.

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.