Organization Active NPI

Barry E. Weiner, DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Sacramento, CA
National Provider Identifier
1053507335
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2459 Issued in CA
Legal business name
BARRY E. WEINER, DPM INC
Practice address
3939 J St Ste 270
Sacramento, CA 95819-3666
Phone
(916) 454-3668
Fax
(916) 454-9255
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Judy Weiner
Title
Business Manager
Phone
(916) 454-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2459 CA Primary

Addresses

Primary practice location

3939 J St Ste 270
Sacramento, CA 95819-3666

Mailing address

3939 J St Ste 270
Sacramento, CA 95819-3666
Phone (916) 454-3668

Other identifiers 1

IdentifierTypeStateIssuer
000E24590MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1053507335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J ST STE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193666",
            "telephone_number": "916-454-3668",
            "fax_number": "916-454-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST STE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193666",
            "telephone_number": "916-454-3668",
            "fax_number": "916-454-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY E. WEINER, DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "916-454-3668"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E24590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.