Provider Demographics
NPI:1053380519
Name:WEINREICH, DON (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:WEINREICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13601 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3818
Mailing Address - Country:US
Mailing Address - Phone:510-231-9591
Mailing Address - Fax:
Practice Address - Street 1:3000 COLBY ST
Practice Address - Street 2:SUITE #307
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2058
Practice Address - Country:US
Practice Address - Phone:510-848-5310
Practice Address - Fax:510-848-5510
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHO4683Medicare UPIN
CAAM913ZMedicare PIN