Individual provider Active NPI

Barry A. Wertheimer, D.P.M.

  • Podiatrist
  • Redondo Beach, CA
National Provider Identifier
1861413379
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E-1248 Issued in CA
Practice address
2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419
Phone
(310) 530-0544
Fax
(310) 541-0168
NPI assigned
Jul 21, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E-1248 CA Primary

Addresses

Primary practice location

2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419

Mailing address

2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419
Phone (310) 530-0544

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

State licenses

LicenseStateTypeSpecialty
E-1248CAMDPodiatrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1861413379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-530-0544",
            "fax_number": "310-541-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-530-0544",
            "fax_number": "310-541-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIMER",
        "first_name": "BARRY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E-1248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.