Active NPI
John R Weinstein
- Psychiatry Physician
- Garden Grove, CA
National Provider Identifier
1255402608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A64936
- Practice address
- 12373 Lewis St
Suite 103
Garden Grove, CA 92840-4676 - Phone
- (714) 867-6031
- Fax
- (714) 867-6033
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A64936 | CA | Primary |
Addresses
Primary practice location
12373 Lewis St
Suite 103
Garden Grove, CA 92840-4676
Mailing address
409 N Pacific Coast Hwy
Suite 441
Redondo Beach, CA 90277-2870
Phone (714) 867-6031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A649360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823001106 | CA | Practitioner - Psychiatry | 3779514377 | Practice locations: Garden Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical College of Wisconsin, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12373 Lewis St
Suite 103
Garden Grove, CA 92840-4676
Phone (714) 867-6031
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.84 of 100
- Quality
- 51.67
- Promoting interoperability
- 28
- Improvement activities
- 40
- Cost
- 88.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64936 | CA | MD | Pharmacist |
| A64936 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychfitness, Apmc | Psychiatry | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Garden Grove, CA
- NPI 1235504564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1255402608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N PACIFIC COAST HWY",
"address_2": "SUITE 441",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902772870",
"telephone_number": "714-867-6031",
"fax_number": "714-867-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12373 LEWIS ST",
"address_2": "SUITE 103",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404676",
"telephone_number": "714-867-6031",
"fax_number": "714-867-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A64936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A649360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.