Organization Active NPI

Lawrence Dinenberg MD a Professional Corp

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1407016165
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G25011 Issued in CA
Legal business name
LAWRENCE DINENBERG MD A PROFESSIONAL CORP
Practice address
9834 Genesee Ave
Suite 125
La Jolla, CA 92037-1230
Phone
(858) 450-1212
Fax
(858) 453-9271
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Lawrence Dinenberg, MD
Title
Officer
Phone
(858) 450-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G25011 CA Primary

Addresses

Primary practice location

9834 Genesee Ave
Suite 125
La Jolla, CA 92037-1230

Mailing address

9834 Genesee Ave
Suite 125
La Jolla, CA 92037-1230
Phone (858) 450-1212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1407016165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 125",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371230",
            "telephone_number": "858-450-1212",
            "fax_number": "858-453-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 125",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371230",
            "telephone_number": "858-450-1212",
            "fax_number": "858-453-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE DINENBERG MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DINENBERG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "858-450-1212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G25011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.