Organization Active NPI

James R Weagley, MD, Inc.

  • Family Medicine Physician
  • Newhall, CA
National Provider Identifier
1306962519
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A046229 Issued in CA
Legal business name
JAMES R WEAGLEY, MD, INC.
Practice address
24355 Lyons Ave
Suite 130
Newhall, CA 91321-2300
Phone
(661) 255-9355
Fax
(661) 255-7951
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
James Weagley, M.D.NPI 1134200454
Title
President
Phone
(818) 324-4625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A046229 CA Primary

Addresses

Primary practice location

24355 Lyons Ave
Suite 130
Newhall, CA 91321-2300

Mailing address

20280 Sorrento LN Apt 208
Porter Ranch, CA 91326-4482
Phone (818) 324-4625

Other identifiers 1

IdentifierTypeStateIssuer
A46229OtherCAMED LICENSE

National Provider Directory

National Provider Directory

Locations

19231 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 255-9355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1306962519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 SORRENTO LN APT 208",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264482",
            "telephone_number": "818-324-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24355 LYONS AVE",
            "address_2": "SUITE 130",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212300",
            "telephone_number": "661-255-9355",
            "fax_number": "661-255-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R WEAGLEY, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "WEAGLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-324-4625",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A046229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A46229",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.