Active NPI
Alicia Janine Weintraub
- Licensed Vocational Nurse
- Newbury Park, CA
National Provider Identifier
1427793058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 719304
- Practice address
- 4735 Via Altamira
Newbury Park, CA 91320-7023 - Phone
- (818) 613-4094
- NPI assigned
- Apr 28, 2022
- Last updated
- Apr 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 719304 | CA | Primary |
Addresses
Primary practice location
4735 Via Altamira
Newbury Park, CA 91320-7023
Mailing address
4735 Via Altamira
Newbury Park, CA 91320-7023
Phone (818) 613-4094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719304 | Other | CA | BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719304 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1427793058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 VIA ALTAMIRA",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913207023",
"telephone_number": "818-613-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 VIA ALTAMIRA",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913207023",
"telephone_number": "818-613-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "ALICIA",
"middle_name": "JANINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2022-04-28",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "719304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "719304",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.