Individual provider Active NPI

Gregory Evan Weisswasser, ND

  • Naturopath
  • Grass Valley, CA
National Provider Identifier
1265595599
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-14 Issued in CA
Practice address
1097 E Main St Ste C
Grass Valley, CA 95945-5718
Phone
(530) 271-7123
Fax
(530) 271-7125
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X ND-14 CA Primary

Addresses

Primary practice location

1097 E Main St Ste C
Grass Valley, CA 95945-5718

Mailing address

11654 Buckeye Cir
Penn Valley, CA 95946-9439
Phone (530) 432-0659

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-14CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265595599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11654 BUCKEYE CIR",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469439",
            "telephone_number": "530-432-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST STE C",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-271-7123",
            "fax_number": "530-271-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSWASSER",
        "first_name": "GREGORY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.