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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Nurse Practitioner | 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.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction Psychiatry Physician
- Santa Monica, CA
- NPI 1891023842
-
- Addiction Psychiatry Physician
- St Petersburg, FL
- NPI 1629249651
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.