Organization Active NPI

Lewis R. Weintraub,M.D. a Medical Corp.

  • Colon & Rectal Surgery Physician
  • Encino, CA
National Provider Identifier
1265757959
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G9352 Issued in CA
Legal business name
LEWIS R. WEINTRAUB,M.D. A MEDICAL CORP.
Doing business as
Lewis R. Weintraub,M.D. A Medical Corp.
Practice address
5400 Balboa Blvd
Ste 228
Encino, CA 91316-1502
Phone
(818) 783-7277
Fax
(818) 783-9607
NPI assigned
Apr 6, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LEWIS R. WEINTRAUB, M.D. A MEDICAL CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Lewis R Weintraub, MD
Title
Owner
Phone
(818) 783-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G9352 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd
Ste 228
Encino, CA 91316-1502

Mailing address

5400 Balboa Blvd
Ste 228
Encino, CA 91316-1502
Phone (818) 783-7277

Other identifiers 1

IdentifierTypeStateIssuer
1265757959OtherCARAILROAD MEDICARE

Other names 1

  • Lewis R. Weintraub,M.D. A Medical Corp. Doing business as

National Provider Directory

National Provider Directory
Part of
Lewis R Weintraub MD AMC

Locations

5400 Balboa Blvd
Ste 228
Encino, CA 91316
Phone (818) 783-7277

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1265757959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "STE 228",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-783-7277",
            "fax_number": "818-783-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "STE 228",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-783-7277",
            "fax_number": "818-783-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS R. WEINTRAUB,M.D. A MEDICAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEWIS R. WEINTRAUB, M.D. A MEDICAL CORP.",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-783-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G9352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1265757959",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis R. Weintraub,M.D. A Medical Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.