Active NPI
Steven Richard Weiner, M.D.
- Rheumatology Physician
- Woodland Hills, CA
National Provider Identifier
1063402956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G44483
- Practice address
- 6325 Topanga Canyon Blvd
Suite 224
Woodland Hills, CA 91367-2017 - Phone
- (818) 703-7595
- Fax
- (818) 703-8417
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G44483 | CA | Primary |
Addresses
Primary practice location
6325 Topanga Canyon Blvd
Suite 224
Woodland Hills, CA 91367-2017
Mailing address
PO Box 4526
Chatsworth, CA 91313-4526
Phone (818) 703-7595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6848023 | Medicaid | CA | |
| 00G444831 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sweiner1658446@oc.providencedirect.org |
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 |
|---|---|---|---|
| G44483 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- sweiner1658446@oc.providencedirect.org
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1063402956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4526",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913134526",
"telephone_number": "818-703-7595",
"fax_number": "818-703-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 TOPANGA CANYON BLVD",
"address_2": "SUITE 224",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913672017",
"telephone_number": "818-703-7595",
"fax_number": "818-703-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "STEVEN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G44483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6848023",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G444831",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sweiner1658446@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2752 Harrison Ave Ste A",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955014738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.