Individual provider Active NPI

Donald Weinstein, M.D.

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1285749648
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41132 Issued in CA
Practice address
2382 Crenshaw Blvd Ste 5
Torrance, CA 90501-3333
Phone
(310) 618-9200
Fax
(310) 618-1241
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41132 CA Primary

Addresses

Primary practice location

2382 Crenshaw Blvd Ste 5
Torrance, CA 90501-3333

Mailing address

2382 Crenshaw Blvd Ste 5
Torrance, CA 90501-3333
Phone (310) 618-9200

Other identifiers 1

IdentifierTypeStateIssuer
00A411320MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dweinstein196658@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000559 CA Practitioner - General Practice 3476680836 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41132CAMDGeneral Practice Dentistry
A41132CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Family Medicine Current Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Feb 1, 1996 Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Feb 1, 1996 Accepting new patients
Richard Cohen Professional Chiropractic Corporation CurrentSince Oct 14, 2012 Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

4314 W Slauson Ave
Los Angeles, CA 90043
Phone (323) 293-7171

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

1919 S Catalina Ave
Redondo Beach, CA 90277
Phone (310) 378-7246

1294 W 6th St
Ste 103
San Pedro, CA 90731
Phone (310) 831-9482

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

Interoperability endpoints

  • Direct secure messaging: dweinstein196658@oc.providencedirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1285749648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 CRENSHAW BLVD STE 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013333",
            "telephone_number": "310-618-9200",
            "fax_number": "310-618-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 CRENSHAW BLVD STE 5",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013333",
            "telephone_number": "310-618-9200",
            "fax_number": "310-618-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A411320",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dweinstein196658@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2382 Crenshaw Blvd Ste 5",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905013333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.