Active NPI
Fred Weiland MD, Inc
- Nuclear Imaging & Therapy Physician
- Roseville, CA
National Provider Identifier
1154500122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- G39050
- Legal business name
- FRED WEILAND MD, INC
- Practice address
- 1 Medical Plaza Dr
Att Nuclear Medicine
Roseville, CA 95661-3037 - Phone
- (916) 781-1291
- Fax
- (916) 663-9912
- NPI assigned
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick L. Weiland, MD
- Title
- President
- Phone
- (916) 781-1291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | G39050 | CA | Primary |
Addresses
Primary practice location
1 Medical Plaza Dr
Att Nuclear Medicine
Roseville, CA 95661-3037
Mailing address
PO Box 897
Roseville, CA 95678-0897
Phone (916) 781-1291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G390500 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1154500122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956780897",
"telephone_number": "916-781-1291",
"fax_number": "916-663-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PLAZA DR",
"address_2": "ATT NUCLEAR MEDICINE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "916-781-1291",
"fax_number": "916-663-9912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED WEILAND MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "WEILAND",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-781-1291",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "CA",
"license": "G39050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G390500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.