NPIMap

Organization Active NPI

Ronald Seymour Weaver MD Inc.

  • Specialist
  • Inglewood, CA
National Provider Identifier
1336354315
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
W21028 Issued in CA
Legal business name
RONALD SEYMOUR WEAVER MD INC.
Practice address
633 Aerick St
Suite 101
Inglewood, CA 90301-1902
Phone
(310) 412-8181
Fax
(310) 412-9299
NPI assigned
May 11, 2007
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mr. Mo Soulati
Title
Billing Manager
Phone
(310) 412-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X W21028 CA Primary

Addresses

Primary practice location

633 Aerick St
Suite 101
Inglewood, CA 90301-1902

Mailing address

633 Aerick St
Suite 101
Inglewood, CA 90301-1902
Phone (310) 412-8181

National Provider Directory

National Provider Directory

Locations

633 Aerick St
#101
Inglewood, CA 90301
Phone (310) 412-8181

633 Aerick St
Ste 101
Inglewood, CA 90301
Phone (310) 412-8181

Practitioners & affiliated clinicians

Practitioners 5

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1336354315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 AERICK ST",
            "address_2": "SUITE 101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011902",
            "telephone_number": "310-412-8181",
            "fax_number": "310-412-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 AERICK ST",
            "address_2": "SUITE 101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011902",
            "telephone_number": "310-412-8181",
            "fax_number": "310-412-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SEYMOUR WEAVER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "SOULATI",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-412-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "W21028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.