Organization Active NPI

Weisenthal Cancer Group

  • Clinical Medical Laboratory
  • Huntington Beach, CA
National Provider Identifier
1629257860
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WEISENTHAL CANCER GROUP
Practice address
16512 Burke Lane
Huntington Beach, CA 92647-4538
Phone
(714) 596-2100
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Larry Mark Weisenthal, M.D., PH.D.NPI 1568497519
Title
Medical Director
Phone
(714) 596-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

16512 Burke Lane
Huntington Beach, CA 92647-4538

Mailing address

16512 Burke Lane
Huntington Beach, CA 92647-4538
Phone (714) 596-2100

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0662326Weisenthal Cancer Group16512 Burke LN, Huntington Beach, CA 92647ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

16512 Burke Ln
Huntington Beach, CA 92647
Phone (714) 596-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1629257860",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISENTHAL CANCER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "WEISENTHAL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-596-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.