DR. SUSAN BETH WEINSTOCK (NPI# 1891028791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891028791 |
| Entity Type | Individual |
| Full Name | DR. SUSAN BETH WEINSTOCK |
| Credential | MD |
| Practice Address |
3790 Via De La Valle Del Mar CA 92014-4247 |
| Practice Telephone | 8587949706 |
| Mailing Telephone | 8587949706 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G058350 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BW7331464 | 01 |
| Street Address |
3790 VIA DE LA VALLE |
| City | DEL MAR |
| State | CA |
| Zip Code | 92014-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437107141 | Susan Elizabeth Rindt | Psychologist | 3790 Via De La Valle, Suite # 118e, Del Mar, CA 92014-4247 | 2006-05-05 |
| 1609210038 | Rdm Physical Therapy PC | Physical Therapist | 3790 Via De La Valle, Suite 205 and 206, Del Mar, CA 92014-4247 | 2013-04-29 |
| 1679820930 | Lindsey Goldstein-fowler | Psychologist | 3790 Via De La Valle, 108e, Del Mar, CA 92014-4247 | 2012-08-06 |
| 1205116332 | P.a.t.h.s. Psychiatric and Therapeutic Health Services Inc | Psychologist | 3790 Via De La Valle, 118e, Del Mar, CA 92014-4247 | 2011-08-20 |
| 1962725879 | Tracey Lynette King | Physical Therapist | 3790 Via De La Valle, Suite 205 and 206, Del Mar, CA 92014-4247 | 2010-03-05 |
| 1033362520 | Patricia Kelly Michals | Social Worker | 3790 Via De La Valle, Suite 113 E, Del Mar, CA 92014-4247 | 2008-10-28 |
| 1962687970 | Pacific Biomedical Dme LLC | Durable Medical Equipment & Medical Supplies | 3790 Via De La Valle, Suite 108, Del Mar, CA 92014-4247 | 2008-01-09 |
| 1104026954 | Devon Berkheiser O'neill | Psychologist | 3790 Via De La Valle, Suite 118e, Del Mar, CA 92014-4247 | 2007-07-20 |
| 1386852762 | Jayne Elizabeth Moynihan | Psychologist | 3790 Via De La Valle, Suite 121e, Del Mar, CA 92014-4247 | 2007-05-18 |
| 1831249572 | Carmen Roman | Psychiatry & Neurology | 3790 Via De La Valle, 118e, Del Mar, CA 92014-4247 | 2007-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751924 | Stanisai Dental Corporation | Dentist | 2710 Via De La Valle, Suite B250, Del Mar, CA 92014 | 2017-07-03 |
| 1750757886 | Darena Ann Bailey | Psychologist | 13778 Ruette Le Parc, Suite E, Del Mar, CA 92014 | 2015-08-12 |
| 1063754885 | James Anthony Bosch | Marriage & Family Therapist | 2002 Jimmy Durante Blvd Suite 124, Del Mar, CA 92014 | 2013-03-19 |
| 1255682167 | Allcare Behavioral Health | Community/Behavioral Health | 3790 Via Da La Valle, Suite 108e, Del Mar, CA 92014 | 2012-10-02 |
| 1952693467 | William Talbot Bowen | Emergency Medicine | 13734 Boquita Dr., Del Mar, CA 92014 | 2011-05-03 |
| 1821239567 | Kathyrn Engel | Social Worker | 13352 Caminito Carmel, Del Mar, CA 92014 | 2009-03-10 |
| 1356500839 | Hsin-ti S Chang | Dentist | 13760 Portofino Dr Apt A, Del Mar, CA 92014 | 2008-06-09 |
| 1952523177 | Ron Barry Dmd Inc. | Dentist | 13983 Mango Drive, Suite 202, Del Mar, CA 92014 | 2007-05-03 |
| 1225182769 | Kathleen Ann Larson | Social Worker | 1337 Camino Del Mar Ste B, Del Mar, CA 92014 | 2007-01-22 |
| 1144388554 | Charlotte Denise Scott | Chiropractor | 2636 Flower Hill Drive, Del Mar, CA 92014 | 2006-12-05 |
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| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.