Individual provider Active NPI

Laurence J.S. Weekes, M.D.

  • Specialist
  • Simi Valley, CA
National Provider Identifier
1316027600
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G28484 Issued in CA
Practice address
2650 Jones Way
Suite 2
Simi Valley, CA 93065-1203
Phone
(805) 577-7977
Fax
(805) 577-0745
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G28484 CA Primary

Addresses

Primary practice location

2650 Jones Way
Suite 2
Simi Valley, CA 93065-1203

Mailing address

2650 Jones Way
Suite 2
Simi Valley, CA 93065-1203
Phone (805) 577-7977

Other identifiers 1

IdentifierTypeStateIssuer
00G284840MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Regional Medical Center Past Accepting new patients
Laurence J.S. Weekes M.D. and Linda Tigner Weekes, M.D. Inc. Specialist PastSince Jun 16, 1981 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1316027600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY",
            "address_2": "SUITE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651203",
            "telephone_number": "805-577-7977",
            "fax_number": "805-577-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 JONES WAY",
            "address_2": "SUITE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651203",
            "telephone_number": "805-577-7977",
            "fax_number": "805-577-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKES",
        "first_name": "LAURENCE",
        "middle_name": "J.S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G284840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.