Jonathan Wean

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CICA02071019 Issued in CA

Practice address

56 Julian Ave
San Francisco, CA 94103-3507

Phone

(415) 865-0964

NPI assigned

Aug 8, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Friendship House Association of American Indians, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Francisco, CA
  • NPI 1215068481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1154678142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 JULIAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033507",
            "telephone_number": "415-865-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 JULIAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033507",
            "telephone_number": "415-865-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAN",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CICA02071019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne W. Lee, D.D.S., Inc.
• Elizabeth Mallory Wayne, N.P.
• Heather Wayne
• Victoria Waynick, DDS
• WC and G
• Ann L. Weaver, P.T.
• Danielle Renee Weaver, PHARMD
• Emily Kini Weaver, DPT
• Jennifer A Weaver, OTR/L
• Kristin Weaver

• Addiction (Substance Use Disorder) Counselor in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.