Individual provider Active NPI

Richard A Weise, MD

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1285622662
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45111 Issued in CA
Practice address
607 N Central Ave
Suite 105
Glendale, CA 91203-1804
Phone
(818) 956-1010
Fax
(818) 543-6083
NPI assigned
Oct 11, 2005
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G45111 CA Primary

Addresses

Primary practice location

607 N Central Ave
Suite 105
Glendale, CA 91203-1804

Mailing address

607 N Central Ave
Suite 204
Glendale, CA 91203-1804
Phone (818) 956-1010

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75843ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000308 CA Practitioner - Ophthalmology 5092629519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Central Ave
Suite 400
Glendale, CA 91203-1928
Phone (818) 956-1010

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45111CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Surgery Center LP Current Accepting new patients
Arcadia Foothill Surgery Center, LLC Current Accepting new patients
David J Fuerst MD Inc Ophthalmology CurrentSince Jan 1, 2005 Accepting new patients
James McCaffery MD a Professional Corp Ophthalmology CurrentSince Jul 1, 1999 Accepting new patients
James McCaffery MD a Professional Corp Ophthalmology Current Accepting new patients
Anil Mohin MD, Facc a Professional Medical Corporation Ophthalmology Past Accepting new patients
Santa Ana Clinica Medica General Medical Center Inc. PastSince Apr 28, 2003 Accepting new patients
Perris Valley Physicians Associates, a Medical Corp. PastSince Jul 30, 2006 Accepting new patients
Greater Los Angeles Oncology Medical Corporation Past Accepting new patients

Locations

255 E Santa Clara St
Ste 110
Arcadia, CA 91006
Phone (626) 254-1800

1808 Verdugo Blvd
Ste 103
Glendale, CA 91208
Phone (818) 790-0702

500 N Central Ave
Fl 4
Glendale, CA 91203

500 N Central Ave
Ste 100
Glendale, CA 91203
Phone (818) 538-5152

500 N Central Ave
Ste 400
Glendale, CA 91203
Phone (818) 208-6056

14124 Foothill Blvd
Sylmar, CA 91342
Phone (818) 364-8181

1135 S Sunset Ave
Ste 312
West Covina, CA 91790
Phone (626) 856-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1285622662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031804",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031804",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75843Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.