Individual provider Active NPI

Alexander Vainshtein, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1942364708
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16835 Issued in CA
Practice address
9400 Brighton Way
Suite #410
Beverly Hills, CA 90210-4703
Phone
(310) 274-0657
Fax
(310) 274-6083
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16835 CA Primary

Addresses

Primary practice location

9400 Brighton Way
Suite #410
Beverly Hills, CA 90210-4703

Mailing address

9400 Brighton Way
Suite #410
Beverly Hills, CA 90210-4703
Phone (310) 274-0657

Other identifiers 1

IdentifierTypeStateIssuer
W18224OtherCAMEDICARE SUBMITTER NUMBER

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16835CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard M Diamond MD Inc Past Accepting new patients
Platinum Care Home Health, Inc. PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1942364708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE #410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104703",
            "telephone_number": "310-274-0657",
            "fax_number": "310-274-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY",
            "address_2": "SUITE #410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104703",
            "telephone_number": "310-274-0657",
            "fax_number": "310-274-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAINSHTEIN",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUBMITTER NUMBER",
            "identifier": "W18224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.