Active NPI
Lewis R. Weintraub,M.D. a Medical Corp.
- Colon & Rectal Surgery Physician
- Encino, CA
National Provider Identifier
1265757959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- G9352
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- LEWIS R. WEINTRAUB, M.D. A MEDICAL CORP.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265757959 | Other | CA | RAILROAD MEDICARE |
Other names 1
- Lewis R. Weintraub,M.D. A Medical Corp.
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.