Individual provider Active NPI

Robert Roseburry Weigel Jr.

  • Other Technician
  • Lake Isabella, CA
National Provider Identifier
1144489303
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
SR ARH 100970245 Issued in CA
Practice address
2835 Hughes Ave
Lake Isabella, CA 93240-2452
Phone
(760) 379-8317
Fax
(760) 379-8969
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X SR ARH 100970245 CA Primary

Addresses

Primary practice location

2835 Hughes Ave
Lake Isabella, CA 93240-2452

Mailing address

PO Box 2452
Lake Isabella, CA 93240-2452
Phone (760) 379-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SR ARH 100970245CAMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
RMW Mobility Service & Sales Past Accepting new patients

Organizations & group practices 1

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1144489303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2452",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932402452",
            "telephone_number": "760-379-8317",
            "fax_number": "760-379-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HUGHES AVE",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932402452",
            "telephone_number": "760-379-8317",
            "fax_number": "760-379-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "ROBERT",
        "middle_name": "ROSEBURRY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "SR ARH 100970245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Isabella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.