Individual provider Active NPI

Paul Bennett Weinstein, M.D.

  • Cardiovascular Disease Physician
  • Fullerton, CA
National Provider Identifier
1275537227
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
637610 Issued in CA
Practice address
2240 N Harbor Blvd
Ste 200
Fullerton, CA 92835-2635
Phone
(714) 870-4665
Fax
(714) 870-1582
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 637610 CA Primary

Addresses

Primary practice location

2240 N Harbor Blvd
Ste 200
Fullerton, CA 92835-2635

Mailing address

2240 N Harbor Blvd
Ste 200
Fullerton, CA 92835-2635
Phone (714) 870-4665

Other identifiers 1

IdentifierTypeStateIssuer
G37610OtherCASTATE LICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Suite 401
Yorba Linda, CA 92886-4043

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
637610CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caduceus Physicians Medical Group CurrentSince Jan 15, 2012 Accepting new patients

Locations

333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18200 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 646-8000

18200 Yorba Linda Blvd
Ste 401
Yorba Linda, CA 92886
Phone (714) 646-8010

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18300 Yorba Linda Blvd
Ste 204
Yorba Linda, CA 92886
Phone (714) 646-8034

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1275537227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HARBOR BLVD",
            "address_2": "STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352635",
            "telephone_number": "714-870-4665",
            "fax_number": "714-870-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N HARBOR BLVD",
            "address_2": "STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352635",
            "telephone_number": "714-870-4665",
            "fax_number": "714-870-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "PAUL",
        "middle_name": "BENNETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "637610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "G37610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.