Individual provider Active NPI

Phyllis Ann Weinstein, D.P.M.

  • Podiatrist
  • Temple City, CA
National Provider Identifier
1992737951
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4003 Issued in CA
Practice address
9822 Las Tunas Dr
Temple City, CA 91780-2208
Phone
(626) 285-7322
Fax
(626) 285-4522
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4003 CA Primary

Addresses

Primary practice location

9822 Las Tunas Dr
Temple City, CA 91780-2208

Mailing address

9822 Las Tunas Dr
Temple City, CA 91780-2208
Phone (626) 285-7322

Other identifiers 3

IdentifierTypeStateIssuer
480032903OtherCARAILROAD MEDICARE
000E40030OtherCABLUE SHIELD
000E40030MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101022001162 CA Practitioner - Podiatry 6709096944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9822 Las Tunas Dr
Temple City, CA 91780-2208
Phone (626) 285-7322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue578
Removal or shaving of skin growth166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4003CAMDPodiatrist
4003CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis a. Weinstein DPM, Inc. Podiatrist CurrentSince Dec 1, 2002 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

9822 Las Tunas Dr
Temple City, CA 91780
Phone (626) 285-7322

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1992737951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802208",
            "telephone_number": "626-285-7322",
            "fax_number": "626-285-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802208",
            "telephone_number": "626-285-7322",
            "fax_number": "626-285-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032903",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE  SHIELD",
            "identifier": "000E40030",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.