Organization Active NPI

Fred Weiland MD, Inc

  • Nuclear Imaging & Therapy Physician
  • Roseville, CA
National Provider Identifier
1154500122
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
G39050 Issued in CA
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

Updated by the provider on Mar 12, 2008

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)CodeLicenseStatePrimary
Nuclear Imaging & Therapy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G390500MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.