Alexander Weis

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65211 Issued in CA

Practice address

PO Box 4944
Crestline, CA 92325-4944

Phone

(951) 296-7604

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Choice Urgent CareGroup PAC ID 4284168386, 12 clinicians

Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians

Bear Valley Community Health Care DistrictGroup PAC ID 0345138582, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.weis.p2@direct.hvvmg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vvipa Medical Group Inc

  dba Heritage Victor Valley Medical Group

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001
  Medicare reassignment Care Compare group NPD
• Choice Urgent Care

  • Urgent Care Clinic/Center
  • Victorville, CA
  • NPI 1316774243
  Medicare reassignment Care Compare group
• Premier Orthopaedic Trauma Specialists, PMC

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1407304439
  Medicare reassignment Care Compare group
• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bear Valley Community Health Care District

  dba Bear Valley Community Hospital

  • Long Term Care Pharmacy
  • Big Bear Lake, CA
  • NPI 1073553756

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1023837556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4944",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923254944",
            "telephone_number": "951-296-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4944",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "923254944",
            "telephone_number": "951-296-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65211",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA65211",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA65211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Thompson
• Robert R Treuherz, MD
• Rhonda E. Tryon
• Walter D Bramson MD a Professional Corporation
• Tianna Warren
• Joelle Wenger
• Jeffrey Dean Whitney
• Michele Lisa Wimmer, CSA
• Clara M Woodward
• Veronica Hope Young

• Physician Assistant in Crestline, CA
• Providers in Crestline, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.