Larry Mark Weisenthal, MD., PHD.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

66724 Issued in CA

Practice address

16512 Burke Lane
Huntington Beach, CA 92647-4538

Phone

(714) 596-2100

Fax

(714) 596-2110

NPI assigned

Jul 11, 2006

Last updated

May 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Weisenthal Cancer Group

  • Clinical Medical Laboratory
  • Huntington Beach, CA
  • NPI 1629257860
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1568497519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16512 BURKE LANE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474538",
            "telephone_number": "714-596-2100",
            "fax_number": "714-596-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16512 BURKE LANE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474538",
            "telephone_number": "714-596-2100",
            "fax_number": "714-596-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENTHAL",
        "first_name": "LARRY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "66724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "G41204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Evette Webster
• Cheryl Weepie
• Wendy Wei
• Steven Frank Weinstein, MD
• Weisenthal Cancer Group
• Wel-Mor Psychology Group, Inc
• Kayla Welch
• Nina Jeanne Welch, M.A C.C.C.
• Wellness Inspired, Inc (Pacific City Psychiatry & Wellness)
• Wellness Surgery Center

• Hematology & Oncology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.