Individual provider Active NPI

Jeffrey M Weinberg, M.D., PH.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1972780641
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G035468 Issued in CA
Practice address
1950 Sawtelle Blvd
Suite 335
Los Angeles, CA 90025-7014
Phone
(310) 477-9997
Fax
(206) 666-2027
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G035468 CA Primary

Addresses

Primary practice location

1950 Sawtelle Blvd
Suite 335
Los Angeles, CA 90025-7014

Mailing address

1950 Sawtelle Blvd
Suite 335
Los Angeles, CA 90025-7014
Phone (310) 477-9997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001463 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 2264725258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
G035468CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1972780641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "SUITE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-477-9997",
            "fax_number": "206-666-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD",
            "address_2": "SUITE 335",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257014",
            "telephone_number": "310-477-9997",
            "fax_number": "206-666-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G035468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.