Individual provider Active NPI

Philip Weintraub, M.D.

  • Urology Physician
  • Burbank, CA
National Provider Identifier
1750379764
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G48539 Issued in CA
Practice address
2601 W Alameda Ave
Suite 416
Burbank, CA 91505-4800
Phone
(818) 843-1700
Fax
(818) 843-0380
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G48539 CA Primary

Addresses

Primary practice location

2601 W Alameda Ave
Suite 416
Burbank, CA 91505-4800

Mailing address

PO Box 749267
Los Angeles, CA 90074-9267
Phone (818) 843-1700

Other identifiers 1

IdentifierTypeStateIssuer
P00647442OtherCAMEDICARE RR

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
I20080528000257 CA Practitioner - Urology 6103996525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627

2701 W Alameda Ave
Suite 200
Burbank, CA 91505-4406
Phone (818) 843-1700

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3022

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48539CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Dec 9, 2024 Accepting new patients
Providence Medical Institute CurrentSince Dec 9, 2024 Accepting new patients
Urology Associates Medical Group Urology CurrentSince Mar 27, 2017 Accepting new patients

Locations

2601 W Alameda Ave
Ste 416
Burbank, CA 91505
Phone (818) 843-1700

2701 W Alameda Ave
Burbank, CA 91505
Phone (818) 843-0653

2701 W Alameda Ave
Ste 200
Burbank, CA 91505
Phone (818) 843-1700

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

20911 Earl St
Ste 140
Torrance, CA 90503
Phone (310) 542-0199

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pweintraub350695@oc.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1750379764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749267",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749267",
            "telephone_number": "818-843-1700",
            "fax_number": "818-843-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W ALAMEDA AVE",
            "address_2": "SUITE 416",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054800",
            "telephone_number": "818-843-1700",
            "fax_number": "818-843-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G48539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00647442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.