Individual provider Active NPI

Lee Ann Smith Weintraub, MPH, RD

  • Registered Dietitian
  • Culver City, CA
National Provider Identifier
1790941144
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
922543 Issued in CA
Practice address
9696 Culver Blvd Ste 301
Culver City, CA 90232-2759
Phone
(310) 562-4313
Fax
(310) 427-7445
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X CA
Renal Nutrition Registered Dietitian 133VN1005X CA
Renal Nutrition Registered Dietitian 133VN1005X 922543 CA
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 922543 CA Primary

Addresses

Primary practice location

9696 Culver Blvd Ste 301
Culver City, CA 90232-2759

Mailing address

9696 Culver Blvd Ste 301
Culver City, CA 90232-2759
Phone (310) 562-4313

Other identifiers 1

IdentifierTypeStateIssuer
922543OtherCACDR

Other names 1

  • Leeann Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090103000011 CA Practitioner - Registered Dietitian Or Nutrition Professional 2365504115 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8885 Venice Blvd
205H
Los Angeles, CA 90034-3230
Phone (310) 562-4313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1790941144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 CULVER BLVD STE 301",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322759",
            "telephone_number": "310-562-4313",
            "fax_number": "310-427-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 CULVER BLVD STE 301",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322759",
            "telephone_number": "310-562-4313",
            "fax_number": "310-427-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "LEE ANN",
        "middle_name": "SMITH",
        "credential": "MPH, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "922543",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "922543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "922543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANN",
            "last_name": "SMITH",
            "credential": "MPH, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.