Organization Active NPI

Peter S Waldstein MD a Medical Corporation

  • Pediatrics Physician
  • Beverly Hills, CA
National Provider Identifier
1386165777
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PETER S WALDSTEIN MD A MEDICAL CORPORATION
Practice address
150 N Robertson Blvd Ste 307
Beverly Hills, CA 90211-2145
Phone
(310) 659-8687
Fax
(310) 659-2420
NPI assigned
Jul 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Peter Sommers WaldsteinNPI 1174653612
Title
President
Phone
(310) 659-8687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

150 N Robertson Blvd Ste 307
Beverly Hills, CA 90211-2145

Mailing address

150 N Robertson Blvd Ste 307
Beverly Hills, CA 90211-2145
Phone (310) 659-8687

National Provider Directory

National Provider Directory

Locations

150 N Robertson Blvd
Ste 307
Beverly Hills, CA 90211
Phone (310) 285-6650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386165777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-659-8687",
            "fax_number": "310-659-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD STE 307",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112145",
            "telephone_number": "310-659-8687",
            "fax_number": "310-659-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S WALDSTEIN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALDSTEIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "SOMMERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-8687",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.