Peter J Weingold MD a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G37195 Issued in CA

Legal business name

PETER J WEINGOLD MD A PROFESSIONAL CORPORATION

Practice address

12840 Riverside Dr Ste 208
Valley Village, CA 91607-3343

Phone

(310) 854-0183

Fax

(310) 854-5631

NPI assigned

Jan 24, 2012

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Weingold, M.D.NPI 1740202035

Title

Pres.

Phone

(310) 854-0183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Peter Joshua Weingold, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1740202035
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1528339462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 208",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073343",
            "telephone_number": "310-854-0183",
            "fax_number": "310-854-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 RIVERSIDE DR STE 208",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073343",
            "telephone_number": "310-854-0183",
            "fax_number": "310-854-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J WEINGOLD MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "WEINGOLD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "310-854-0183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G37195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.