Individual provider Active NPI

Jiandong Wei, MD

  • Internal Medicine Physician
  • Sonora, CA
National Provider Identifier
1063788222
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
133632 Issued in CA
Practice address
1000 Greenley Rd
Sonora, CA 95370-5200
Phone
(209) 536-5000
NPI assigned
Mar 31, 2012
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 282101 NY
Internal Medicine Physician 207R00000X 133632 CA Primary
Hospitalist Physician 208M00000X 67227 MN

Addresses

Primary practice location

1000 Greenley Rd
Sonora, CA 95370-5200

Mailing address

12516 Senda Panacea
San Diego, CA 92129-2202
Phone (718) 753-5008

Other practice location 1

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208003219 CA Practitioner - Internal MedicinePractitioner - Hospitalist 6305152653 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Critical Care Medical Group IncGroup PAC ID 7911083886, 74 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone (707) 778-2631

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 461-1920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
133632CAMDInternal Medicine Physician
282101NYMDInternal Medicine Physician
133832CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Jun 1, 2020 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
County of San Diego Current Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Feb 1, 2016 Accepting new patients
Providence Medical Foundation Current Accepting new patients
County of San Diego CurrentSince Nov 2, 2015 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Jun 1, 2020 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
County of San Diego CurrentSince Nov 2, 2015 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Mar 15, 2016 Accepting new patients
St. Mary's Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1063788222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12516 SENDA PANACEA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292202",
            "telephone_number": "718-753-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREENLEY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705200",
            "telephone_number": "209-536-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEI",
        "first_name": "JIANDONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-31",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "282101",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "133632",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "67227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.