Active NPI
Lauren Amy Weintraub, M.D.
- Pediatric Nephrology Physician
- Stanford, CA
National Provider Identifier
1801097423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- A86917
- Practice address
- 300 Pasteur Dr
G306
Stanford, CA 94305-2200 - Phone
- (650) 804-8321
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | A86917 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
G306
Stanford, CA 94305-2200
Mailing address
1020 Florence LN Apt 11
Menlo Park, CA 94025-4928
Phone (650) 804-8321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86917 | CA | MD | Pediatric Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801097423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 FLORENCE LN APT 11",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254928",
"telephone_number": "650-804-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "G306",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-804-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "LAUREN",
"middle_name": "AMY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "CA",
"license": "A86917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.