Peter S Birnbaum DO Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PETER S BIRNBAUM DO INC

Practice address

1211 W la Palma Ave Ste 506
Anaheim, CA 92801-2812

Phone

(714) 491-3670

Fax

(714) 533-6760

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Peter S Birnbaum, DONPI 1538267042

Title

Physician

Phone

(714) 491-3670

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Peter S. Birnbaum D.O. Inc

  • Orthopaedic Surgery Physician
  • Moreno Valley, CA
  • NPI 1093990665

  O20080414000618

  Same enrollment

Locations

Practitioners 5

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

• Peter Simon Birnbaum, D.O. INC.

  • Orthopaedic Surgery Physician
  • Orange, CA
  • NPI 1538267042
  Medicare reassignment Care Compare group NPD Authorized official
• Lesley Linda Rivera, PT, DPT

  • Physical Therapist
  • Yorba Linda, CA
  • NPI 1245836618
  Medicare reassignment Care Compare group NPD
• Sara Michelle Grannis, DPT, OCS, ATC

  • Specialist
  • Fountain Valley, CA
  • NPI 1972531317
  Medicare reassignment NPD
• James Jin Kim, PT, DPT

  • Physical Therapist
  • Harbor City, CA
  • NPI 1619314424
  Medicare reassignment NPD
• Ryan Wingott Lew

  • Physical Therapist
  • Corona, CA
  • NPI 1912656653
  Medicare reassignment NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1295815280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 506",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012812",
            "telephone_number": "714-491-3670",
            "fax_number": "714-533-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 506",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012812",
            "telephone_number": "714-491-3670",
            "fax_number": "714-533-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S BIRNBAUM DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BIRNBAUM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-491-3670",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navie Persaud
• Jocelyn Pescador
• Naomi Danielle Pesyna, A/G NP-C
• Peter Jung Chiropractic, Inc
• Peter K Shek
• Peter Y. Lee DMD Inc.
• Abigail Peterman
• Aimee Peters, LCSW, PPSC
• Arianna Peters
• Holly Kay Peters, MFTI

• Orthopaedic Surgery Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.