Organization Active NPI

Stuart Martin Weisman, MD, in

  • Medical Specialty Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1144332859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G57035 Issued in CA
Legal business name
STUART MARTIN WEISMAN, MD, IN
Doing business as
WEISMAN MEDICAL GROUP
Practice address
900 Welch Rd
Suite 105
Palo Alto, CA 94304-1805
Phone
(650) 322-2900
Fax
(650) 322-2904
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stuart Martin Weisman, MDNPI 1619921574
Title
Ceo
Phone
(650) 322-2900

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
Medical Specialty Clinic/Center 261QM2500X G57035 CA Primary

Addresses

Primary practice location

900 Welch Rd
Suite 105
Palo Alto, CA 94304-1805

Mailing address

900 Welch Rd
Suite 105
Palo Alto, CA 94304-1805
Phone (650) 322-2900

Other names 1

  • WEISMAN MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000740 CA Part B Supplier - Clinic/Group Practice 3274509021 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA; San Jose, CA

National Provider Directory

National Provider Directory

Locations

575 Monterey St
Hollister, CA 95023
Phone (831) 630-0500

900 Welch Rd
Ste 105
Palo Alto, CA 94304
Phone (650) 322-2900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2922/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144332859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WELCH RD",
            "address_2": "SUITE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041805",
            "telephone_number": "650-322-2900",
            "fax_number": "650-322-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WELCH RD",
            "address_2": "SUITE 105",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041805",
            "telephone_number": "650-322-2900",
            "fax_number": "650-322-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART MARTIN WEISMAN, MD, IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-322-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G57035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEISMAN MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.