NPIMap

Individual provider Active NPI

Debra Weiss Ishai, MD

  • Pediatrics Physician
  • Walnut Creek, CA
National Provider Identifier
1215997119
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A79075 Issued in CA
Practice address
1776 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3190
Phone
(925) 933-4383
Fax
(925) 933-7023
NPI assigned
Mar 24, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A79075 CA Primary

Addresses

Primary practice location

1776 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3190

Mailing address

1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341
Phone (925) 587-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
79075CAMDPharmacist
A79075CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saddleback Memorial Medical Center Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
John Muir Health Past Accepting new patients
California Em-I Medical Services Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dweissishai11727@ehr.johnmuirhealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1215997119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 EMBARCADERO RD",
            "address_2": "STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033341",
            "telephone_number": "925-587-2505",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-933-4383",
            "fax_number": "925-933-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS ISHAI",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A79075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.