Active NPI
James D Weiss MD
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
National Provider Identifier
1306888185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- G36492
- Legal business name
- JAMES D WEISS MD
- Practice address
- 624 Frederick St
Santa Cruz, CA 95062-2203 - Phone
- (831) 427-3100
- Fax
- (831) 427-3131
- NPI assigned
- Jun 13, 2006
- Last updated
- Jan 2, 2008
- 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
- Destry Setser
- Title
- Pres
- Phone
- (800) 333-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | G36492 | CA | Primary |
Addresses
Primary practice location
624 Frederick St
Santa Cruz, CA 95062-2203
Mailing address
624 Frederick St
Santa Cruz, CA 95062-2203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5617432 | Other | OTHER ID NUMBER | |
| 5617432 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1306888185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 FREDERICK ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 FREDERICK ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622203",
"telephone_number": "831-427-3100",
"fax_number": "831-427-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES D WEISS MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "SETSER",
"authorized_official_first_name": "DESTRY",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "800-333-9800"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "CA",
"license": "G36492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5617432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5617432",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.