NPIMap

Organization Active NPI

Issac Weintroub MD Inc

  • Specialist
  • Van Nuys, CA
National Provider Identifier
1477841815
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A252287 Issued in CA
Legal business name
ISSAC WEINTROUB MD INC
Practice address
14540 Victory Blvd
Ste 100
Van Nuys, CA 91411-1600
Phone
(818) 787-7484
Fax
(818) 787-7484
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Issac Weibtroub, M.D.
Title
Founder
Phone
(818) 787-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A252287 CA Primary

Addresses

Primary practice location

14540 Victory Blvd
Ste 100
Van Nuys, CA 91411-1600

Mailing address

14540 Victory Blvd
Ste 100
Van Nuys, CA 91411-1600
Phone (818) 787-7484

National Provider Directory

National Provider Directory

Locations

14540 Victory Blvd
Ste 100
Van Nuys, CA 91411
Phone (818) 787-7484

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1477841815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD",
            "address_2": "STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-787-7484",
            "fax_number": "818-787-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD",
            "address_2": "STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111600",
            "telephone_number": "818-787-7484",
            "fax_number": "818-787-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAC WEINTROUB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "WEIBTROUB",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "818-787-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A252287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.