Organization 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
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G22732 Issued in CA
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X G22732 CA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.