Individual provider Active NPI

Steffan Matthew Weiner, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Thousand Oaks, CA
National Provider Identifier
1013331685
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95000258 Issued in CA
Practice address
2594 Manchester CT
Thousand Oaks, CA 91362-5331
Phone
(530) 219-6060
NPI assigned
Feb 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95000258 CA Primary

Addresses

Primary practice location

2594 Manchester CT
Thousand Oaks, CA 91362-5331

Mailing address

545 Galloping Hill Rd
Simi Valley, CA 93065-6700
Phone (530) 219-6060

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618000018 CA Practitioner - Nurse Practitioner 5395969174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah S Moore Registered Nursing IncGroup PAC ID 2668870072, 2 clinicians

Practice addresses (Care Compare)

19 E Mission St
Suite a
Santa Barbara, CA 93101-2459
Phone (805) 271-6795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah S Moore Registered Nursing Inc Psychiatric/Mental Health CurrentSince Oct 3, 2024 Accepting new patients
Steffan Weiner a Professional Nursing Corp Psychiatric/Mental Health CurrentSince Oct 13, 2024 Accepting new patients

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1013331685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 GALLOPING HILL RD",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656700",
            "telephone_number": "530-219-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 MANCHESTER CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913625331",
            "telephone_number": "530-219-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "STEFFAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95000258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.