Eric J. Meinhardt, M.D., a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A113988 Issued in CA

Legal business name

ERIC J. MEINHARDT, M.D., A PROFESSIONAL CORPORATION

Practice address

11645 Wilshire Blvd
1080
Los Angeles, CA 90025-1708

Phone

(310) 275-1170

NPI assigned

Jul 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric Joel Meinhardt, MDNPI 1033436654

Title

Dermatologist

Phone

(310) 275-1170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8402/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Joel Meinhardt, M.D.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1033436654
  Medicare reassignment Care Compare group Authorized official
• Mina Amin, MD

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1417451196
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1972988491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "1080",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "1080",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-275-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. MEINHARDT, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-26",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MEINHARDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "310-275-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A113988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.