Bernard Weintraub MD Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G36942 Issued in CA

Legal business name

BERNARD WEINTRAUB MD INC

Practice address

2001 Santa Monica Blvd
660W
Santa Monica, CA 90404-2102

Phone

(310) 453-8584

Fax

(310) 829-2306

NPI assigned

Aug 13, 2007

Last updated

Jul 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna J. Ishibashi

Title

Business Manager

Phone

(310) 453-4780

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard S Weintraub, MD

  • Pulmonary Disease Physician
  • Santa Monica, CA
  • NPI 1104931773
  Medicare reassignment

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1255523312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "660W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-8584",
            "fax_number": "310-829-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "660W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-8584",
            "fax_number": "310-829-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD WEINTRAUB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "ISHIBASHI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "310-453-4780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G36942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G369420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104931773",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt Kyle Bermudez
• Jeanette Bernabe
• Jessica M Bernacki, PH.D.
• Bernard Geller M D Allergy & Clinical Immunology
• Bernard Jiang, M.D., a Professional
• Dorothy Bernard, MS, RDN, IFNCP
• Michellani Bernard
• Teresita Berndes-Carlson, MA
• Laura Lynne Bernet
• Megan Elizabeth Bernstein

• Pulmonary Disease Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.