David J Wallenstein (NPI# 1962417386, PAC ID# 9537151378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1962417386 |
| PAC ID by PECOS | 9537151378 |
| Professional Enrollment ID | I20040331001726 |
| Full Name | David J Wallenstein |
| Organization Legal Name | UC REGENTS UCLA FAMILY HEALTH CENTER |
| Address |
1920 Colorado Ave Santa Monica CA 90404-3414 |
| Phone Number | 3103194700 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739083866 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050112 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| 050262 | RONALD REAGAN U C L A MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1920 Colorado Ave, Santa Monica, CA 90404-3414 | 3103194700 | UC REGENTS UCLA FAMILY HEALTH CENTER |
| Organization Legal Name | UC REGENTS UCLA FAMILY HEALTH CENTER |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blanca S Campos | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Youhualli Anaya | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Michelle Bholat | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Anne M Arikian | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Lynne Mh Garcia | Registered Dietitian Or Nutrition Professional | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Derjung Tarn | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Joy Hao | Internal Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Yelba Castellon-lopez | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Martin A Quan | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Catherine Peony Khoo | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Street Address |
1920 COLORADO AVE |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-3414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blanca S Campos | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Youhualli Anaya | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Michelle Bholat | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Anne M Arikian | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Lynne Mh Garcia | Registered Dietitian Or Nutrition Professional | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Derjung Tarn | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Joy Hao | Internal Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Yelba Castellon-lopez | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Martin A Quan | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Catherine Peony Khoo | Family Medicine | Uc Regents Ucla Family Health Center | 1920 Colorado Ave, Santa Monica, CA 90404-3414 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANTA MONICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David J Wallenstein.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.