Individual provider Active NPI

Peter R Kurzweil, M.D.

  • Specialist
  • Long Beach, CA
National Provider Identifier
1700865466
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G64938 Issued in CA
Practice address
2760 Atlantic Ave
Long Beach, CA 90806-2755
Phone
(562) 424-6666
Fax
(562) 424-7122
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G64938 CA Primary

Addresses

Primary practice location

2760 Atlantic Ave
Long Beach, CA 90806-2755

Mailing address

2760 Atlantic Ave
Long Beach, CA 90806-2755
Phone (562) 424-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000703 CA Practitioner - Orthopedic Surgery 4789765900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64938CAMDGeneral Practice Dentistry
G64938CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Orthopaedic Surgical Group Specialist CurrentSince Jul 1, 1990 Accepting new patients

Locations

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2760 Atlantic Ave
Long Beach, CA 90806
Phone (542) 424-6666

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1700865466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062755",
            "telephone_number": "562-424-6666",
            "fax_number": "562-424-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062755",
            "telephone_number": "562-424-6666",
            "fax_number": "562-424-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZWEIL",
        "first_name": "PETER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.