Individual provider Active NPI

Joseph P. Weigel, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Culver City, CA
National Provider Identifier
1063563542
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16725 Issued in CA
Practice address
9808 Venice Blvd
#700
Culver City, CA 90232-2732
Phone
(310) 945-3350
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R.N. 586797 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16725 CA Primary

Addresses

Primary practice location

9808 Venice Blvd
#700
Culver City, CA 90232-2732

Mailing address

19325 E Swanee LN
Covina, CA 91723-3257
Phone (626) 332-1551

Other names 1

  • Joe Weigel Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000239 CA Practitioner - Nurse Practitioner 1153587324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exodus Recovery IncGroup PAC ID 2668467341, 16 clinicians

Practice addresses (Care Compare)

3737 Martin Luther King Jr Blvd
Suite 525
Lynwood, CA 90262-3535
Phone (310) 733-7981

933 S Sunset Ave
Suite 105
West Covina, CA 91790-3410
Phone (626) 813-1222

9808 Venice Blvd
Culver City, CA 90232-6824
Phone (310) 945-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R.N. 586797CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Maspuro Investment Enterprises, Inc CurrentSince Mar 1, 2014 Accepting new patients
Exodus Recovery Inc CurrentSince Nov 18, 2012 Accepting new patients
College Community Services CurrentSince May 27, 2012 Accepting new patients
College Community Services CurrentSince May 27, 2012 Accepting new patients
Exodus Recovery Inc Current Accepting new patients
Exodus Recovery, Inc. CurrentSince Nov 18, 2012 Accepting new patients

Locations

9808 Venice Blvd
Ste 700
Culver City, CA 90232
Phone (310) 253-9494

1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

933 S Sunset Ave
Ste 105
West Covina, CA 91790
Phone (626) 813-1222

Organizations & group practices 6

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": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063563542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19325 E SWANEE LN",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233257",
            "telephone_number": "626-332-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "#700",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-945-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "JOSEPH",
        "middle_name": "P.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "R.N. 586797",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "16725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "WEIGEL",
            "credential": "N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.