Organization Active NPI

Nathan R. Weber, MD

  • Anesthesiology Physician
  • Ventura, CA
National Provider Identifier
1336469477
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A91196 Issued in CA
Legal business name
NATHAN R. WEBER, MD
Practice address
1752 S Victoria Ave
Suite a
Ventura, CA 93003-6192
Phone
(805) 236-2734
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Nathan R. Weber, MD
Title
S Corp Owner
Phone
(805) 236-2734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A91196 CA Primary

Addresses

Primary practice location

1752 S Victoria Ave
Suite a
Ventura, CA 93003-6192

Mailing address

3116 W March LN
Suite 200
Stockton, CA 95219-2369
Phone (209) 473-6555

Other identifiers 2

IdentifierTypeStateIssuer
A91196OtherCAMEDICAL LICENSE
PENDINGMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1336469477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN",
            "address_2": "SUITE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192369",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036192",
            "telephone_number": "805-236-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN R. WEBER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "S CORP OWNER",
        "authorized_official_telephone_number": "805-236-2734",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A91196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A91196",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.