Active NPI
Jed Ira Weissberg, MD
- Gastroenterology Physician
- Fremont, CA
National Provider Identifier
1326190836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G41647
- Practice address
- 39400 Paseo Padre Parkway
KP Fremont Medical Center
Fremont, CA 94538 - Phone
- (510) 271-6847
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G41647 | CA | Primary |
Addresses
Primary practice location
39400 Paseo Padre Parkway
KP Fremont Medical Center
Fremont, CA 94538
Mailing address
1 Kaiser PLZ
27L
Oakland, CA 94612-3610
Phone (510) 271-6847
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41647 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326190836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KAISER PLZ",
"address_2": "27L",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123610",
"telephone_number": "510-271-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39400 PASEO PADRE PARKWAY",
"address_2": "KP FREMONT MEDICAL CENTER",
"city": "FREMONT",
"state": "CA",
"postal_code": "94538",
"telephone_number": "510-271-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBERG",
"first_name": "JED",
"middle_name": "IRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G41647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.