Active NPI
Jesse Oliver Tweed, M.D.
- Pediatrics Physician
- Moreno Valley, CA
National Provider Identifier
1053679035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A127569
- Practice address
- 14114 Business Center Dr Ste a
Moreno Valley, CA 92553-9113 - Phone
- (951) 697-4133
- Fax
- (951) 697-4130
- NPI assigned
- Apr 27, 2012
- Last updated
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A127569 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr Ste a
Moreno Valley, CA 92553-9113
Mailing address
14114 Business Center Dr Ste a
Moreno Valley, CA 92553-9113
Phone (951) 697-4133
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127569 | CA | MD | Clinical Social Worker |
| A127569 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosemarie Tweed, D.O., Apc | Pediatrics | Past | Accepting new patients |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jessetweed@rtdoapc.allscriptsdirect.net
Organizations & group practices 3
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.
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Pediatrics Physician
- Moreno Valley, CA
- NPI 1043548985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1053679035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR STE A",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-697-4133",
"fax_number": "951-697-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR STE A",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-697-4133",
"fax_number": "951-697-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEED",
"first_name": "JESSE",
"middle_name": "OLIVER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-27",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A127569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.