Active NPI
Peter M Birnstein MD Prof Corp Family Practice Assoc
Doing business as Peter M Birnstein MD Prof Family Practice Assoc
- Adult Medicine Physician
- Santa Monica, CA
National Provider Identifier
1871002618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- G22732
- Legal business name
- PETER M BIRNSTEIN MD PROF CORP FAMILY PRACTICE ASSOC
- Doing business as
- Peter M Birnstein MD Prof Family Practice Assoc
- Practice address
- 2811 Wilshire Blvd Ste 800
Santa Monica, CA 90403-4808 - Phone
- (310) 453-6361
- Fax
- (310) 393-0245
- NPI assigned
- Sep 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter M Birnstein, MD
- Title
- President
- Phone
- (310) 394-2695
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | G22732 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G22732 | CA |
Addresses
Primary practice location
2811 Wilshire Blvd Ste 800
Santa Monica, CA 90403-4808
Mailing address
2811 Wilshire Blvd Ste 800
Santa Monica, CA 90403-4808
Phone (310) 453-6361
Other names 1
- PETER M BIRNSTEIN MD PROF FAMILY PRACTICE ASSOC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1871002618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 800",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034808",
"telephone_number": "310-453-6361",
"fax_number": "310-393-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD STE 800",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034808",
"telephone_number": "310-453-6361",
"fax_number": "310-393-0245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER M BIRNSTEIN MD PROF CORP FAMILY PRACTICE ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BIRNSTEIN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-394-2695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "G22732",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G22732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PETER M BIRNSTEIN MD PROF FAMILY PRACTICE ASSOC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.