Organization Active NPI

Robert B Weber MD a Professional Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1194896332
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G30439 Issued in CA
Legal business name
ROBERT B WEBER MD A PROFESSIONAL CORPORATION
Practice address
12099 W Washington Blvd Ste 300
Los Angeles, CA 90066-2621
Phone
(310) 558-9777
NPI assigned
Nov 10, 2006
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Robert B. Weber, M.D.NPI 1619981636
Title
President
Phone
(310) 271-0777

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
Cardiovascular Disease Physician 207RC0000X G30439 CA Primary

Addresses

Primary practice location

12099 W Washington Blvd Ste 300
Los Angeles, CA 90066-2621

Mailing address

PO Box 3134
Beverly Hills, CA 90212-0134
Phone (310) 271-0777

Other identifiers 1

IdentifierTypeStateIssuer
00G304391MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000472 CA Part B Supplier - Clinic/Group Practice 2062580566 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8670 Wilshire Blvd
#206
Beverly Hills, CA 90211
Phone 3108550752 ext. 209

12095 W Washington Blvd
Unit 201
Los Angeles, CA 90066
Phone (310) 391-4150

8540 S Sepulveda Blvd
Ste 1006
Los Angeles, CA 90045
Phone (310) 670-1865

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1194896332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3134",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902120134",
            "telephone_number": "310-271-0777",
            "fax_number": "310-271-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 W WASHINGTON BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662621",
            "telephone_number": "310-558-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B WEBER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-0777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G30439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G304391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.