Active NPI
Simone Miriam Weber
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1013517531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3301 E 12TH St Ste 259
Oakland, CA 94601-2940 - Phone
- (210) 269-9030
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
3301 E 12TH St Ste 259
Oakland, CA 94601-2940
Mailing address
PO Box 3554
Oakland, CA 94609-0554
Phone (510) 730-2694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1013517531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3554",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946090554",
"telephone_number": "510-730-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 E 12TH ST STE 259",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012940",
"telephone_number": "210-269-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "SIMONE",
"middle_name": "MIRIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
- Armeen William Weber, M.D.
- Asha Sarah Weber
- James Andrew Weber, CRNA
- Jordan Von Weber, MD
- Molly Elizabeth Weber
- Webster Orthopaedic Medica Group, a Professional Corporation
- Webster Orthopaedic Medical Group, a Professional Corporation
- Webster Surgery Center, LP
- Maria Luz Webster-Longin, MD
- Jorden R Webster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.