Organization Active NPI

Edward a Weiss MD Inc

  • General Practice Physician
  • Palo Alto, CA
National Provider Identifier
1063585800
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G26171 Issued in CA
Legal business name
EDWARD A WEISS MD INC
Practice address
850 Middlefield Rd Ste 2
Palo Alto, CA 94301-2918
Phone
(650) 326-6560
Fax
(650) 321-2324
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Dr. Edward Arthur Weiss, MDNPI 1376634378
Title
Physician
Phone
(650) 326-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X G26171 CA Primary

Addresses

Primary practice location

850 Middlefield Rd Ste 2
Palo Alto, CA 94301-2918

Mailing address

850 Middlefield Rd Ste 2
Palo Alto, CA 94301-2918
Phone (650) 326-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000386 CA Part B Supplier - Clinic/Group Practice 8325122005 Receives reassigned benefits from 1 practitioner
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory

Locations

900 Welch Rd
Ste 208
Palo Alto, CA 94304
Phone (650) 326-6560

850 Middlefield Rd
Ste 2
Palo Alto, CA 94301
Phone (650) 322-4750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1063585800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MIDDLEFIELD RD STE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012918",
            "telephone_number": "650-326-6560",
            "fax_number": "650-321-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MIDDLEFIELD RD STE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012918",
            "telephone_number": "650-326-6560",
            "fax_number": "650-321-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A WEISS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "650-326-6560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G26171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.