Individual provider Active NPI

Henry Weinstock, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1043312655
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51131 Issued in CA
Practice address
227 N Jackson Ave
San Jose, CA 95116-1603
Phone
(408) 871-3400
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G51131 CA Primary

Addresses

Primary practice location

227 N Jackson Ave
San Jose, CA 95116-1603

Mailing address

227 N Jackson Ave
San Jose, CA 95116-1603
Phone (408) 871-3400

Other identifiers 1

IdentifierTypeStateIssuer
00G511310MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081213000070 CA Practitioner - Family Practice 4486715166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.25 of 100Reported as subgroup
Quality
87.84
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51131CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCHS Medical Foundation Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2019 Accepting new patients
El Camino Health Medical Group PastSince Sep 8, 2019 Accepting new patients

Locations

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

9360 N Name Uno
San Francisco, CA 94139
Phone (408) 278-3003

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

400 Race St
San Jose, CA 95126

227 N Jackson Ave
San Jose, CA 95116
Phone (408) 278-3003

227 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 866-4000

Organizations & group practices 4

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1043312655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-871-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G511310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.