Organization Active NPI

Lawrence Weinstein, M.D., Medical Group, Inc.

Doing business as The Prometa Center, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Santa Monica, CA
National Provider Identifier
1912106238
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
LAWRENCE WEINSTEIN, M.D., MEDICAL GROUP, INC.
Doing business as
The Prometa Center, Inc.
Practice address
1315 Lincoln Blvd
Suite 250
Santa Monica, CA 90401-1750
Phone
(310) 496-5505
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Mr. Chuck Timpe
Title
Assistant Secretary of the Corp
Phone
(310) 444-4320

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1315 Lincoln Blvd
Suite 250
Santa Monica, CA 90401-1750

Mailing address

11150 Santa Monica Blvd
Suite 1500
Los Angeles, CA 90025-3380
Phone (310) 444-4309

Other names 1

  • The Prometa Center, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1315 Lincoln Blvd
Ste 250
Santa Monica, CA 90401
Phone (310) 496-5505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1912106238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11150 SANTA MONICA BLVD",
            "address_2": "SUITE 1500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253380",
            "telephone_number": "310-444-4309",
            "fax_number": "310-444-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LINCOLN BLVD",
            "address_2": "SUITE 250",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011750",
            "telephone_number": "310-496-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WEINSTEIN, M.D., MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "TIMPE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF THE CORP",
        "authorized_official_telephone_number": "310-444-4320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prometa Center, Inc.",
            "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 Feb 6, 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.