NPIMap

Individual provider Active NPI

Mark K Weeber, MD

  • Internal Medicine Physician
  • Chico, CA
National Provider Identifier
1144324492
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G660610 Issued in CA
Practice address
114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-5137
Phone
(530) 894-0500
Fax
(530) 345-2532
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G660610 CA Primary

Addresses

Primary practice location

114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-5137

Mailing address

114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-5137
Phone (530) 894-0500

Other identifiers 3

IdentifierTypeStateIssuer
3910542AOtherCASTATE ID #
G660610OtherCACALIFORNIA MEDICAL LIC #
110132060OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000868 CA Practitioner - Internal Medicine 8123208352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Ranch Primary Care IncGroup PAC ID 4688956634, 11 clinicians

Practice addresses (Care Compare)

114 Mission Ranch Blvd
Suite 10
Chico, CA 95926-5137
Phone (530) 894-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
91.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G660610CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1144324492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEBER",
        "first_name": "MARK",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G660610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID #",
            "identifier": "3910542A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LIC #",
            "identifier": "G660610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110132060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.