Phyllis a. Weinstein DPM, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4003 Issued in CA

Legal business name

PHYLLIS A. WEINSTEIN DPM, INC.

Practice address

9822 Las Tunas Dr
Temple City, CA 91780-2208

Phone

(626) 285-7322

Fax

(626) 285-4522

NPI assigned

Jul 23, 2008

Organization subpart

Yes

Parent organization

PHYLLIS A. WEINSTEIN DPM, INC.As reported in NPPES

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

Authorized official

Name

Dr. Phyllis A Weinstein, DPMNPI 1992737951

Title

Owner/ Physician

Phone

(626) 285-7322

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Phyllis a Weinstein DPM Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis Ann Weinstein, D.P.M.

  • Podiatrist
  • Temple City, CA
  • NPI 1992737951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1285899781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802208",
            "telephone_number": "626-285-7322",
            "fax_number": "626-285-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802208",
            "telephone_number": "626-285-7322",
            "fax_number": "626-285-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS A. WEINSTEIN DPM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYLLIS A. WEINSTEIN DPM, INC.",
        "enumeration_date": "2008-07-23",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "626-285-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Temple City, CA
• Providers in Temple City, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.