Active NPI
Robert B Weber MD a Professional Corporation
- Cardiovascular Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G30439
- 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, 2020
- 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
- Robert B. Weber, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G304391 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1619981636
-
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- Sherman Oaks, CA
- NPI 1972821809
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
- Kimberly Patricia Roberson, OTS
- Marceides Roberson
- Robert a Rubin, M.D.
- Robert a. Kilroy, DC a Chiropractic Corporation
- Robert B Gerber DDS a Prof Corp (Tower Dental Group)
- Robert B. Shpiner M.D. Inc.
- Robert Briones, a Psychological Corporation (University Park Psychological Associates)
- Robert C Gutierrez MD
- Robert Carroll MD a Professional Corporation
- Robert Eitches, M.D., Inc
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.