Individual provider Active NPI

Peter Joshua Weingold, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1740202035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G37195 Issued in CA
Practice address
116 N Robertson Blvd
Suite 806
Los Angeles, CA 90048-3103
Phone
(310) 854-0183
Fax
(310) 854-5631
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G37195 CA Primary

Addresses

Primary practice location

116 N Robertson Blvd
Suite 806
Los Angeles, CA 90048-3103

Mailing address

116 N Robertson Blvd
Suite 806
Los Angeles, CA 90048-3103
Phone (310) 854-0183

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
I20120222000119 CA Practitioner - Psychiatry 8921266313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Icahn School of Medicine at Mount Sinai, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12840 Riverside Dr
Suite 208
Valley Village, CA 91607-3343
Phone (310) 854-0183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37195CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Weingold MD a Professional Corporation Psychiatry CurrentSince Jan 1, 1973 Accepting new patients

Locations

116 N Robertson Blvd
Ste 806
Los Angeles, CA 90048
Phone (310) 659-8884

12840 Riverside Dr
Ste 208
Valley Village, CA 91607
Phone (310) 854-0183

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740202035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD",
            "address_2": "SUITE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483103",
            "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": "116 N ROBERTSON BLVD",
            "address_2": "SUITE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483103",
            "telephone_number": "310-854-0183",
            "fax_number": "310-854-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGOLD",
        "first_name": "PETER",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G37195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.