Individual provider Active NPI

Randall Bradley Weil, M.D.

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1275568412
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C36883 Issued in CA
Practice address
909 Hyde St
Suite 602
San Francisco, CA 94109-4822
Phone
(415) 781-2081
Fax
(415) 567-1402
NPI assigned
Jul 12, 2006
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
Plastic Surgery Physician 208200000X C36883 CA Primary

Addresses

Primary practice location

909 Hyde St
Suite 602
San Francisco, CA 94109-4822

Mailing address

909 Hyde St
Suite 602
San Francisco, CA 94109-4822
Phone (415) 781-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275568412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-781-2081",
            "fax_number": "415-567-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST",
            "address_2": "SUITE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094822",
            "telephone_number": "415-781-2081",
            "fax_number": "415-567-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "RANDALL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C36883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.