NPIMap

Organization Active NPI

Richard a. Weise, M.D., a Medical Corporation

  • Ophthalmology Physician
  • Glendale, CA
National Provider Identifier
1346536109
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45111 Issued in CA
Legal business name
RICHARD A. WEISE, M.D., A MEDICAL CORPORATION
Practice address
500 N Central Ave Ste 400
Glendale, CA 91203-1928
Phone
(818) 956-1010
Fax
(818) 543-6083
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Richard A Weise, M.D.NPI 1285622662
Title
Medical Doctor
Phone
(818) 956-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G45111 CA Primary

Addresses

Primary practice location

500 N Central Ave Ste 400
Glendale, CA 91203-1928

Mailing address

501 W Glenoaks Blvd
Suite 119
Glendale, CA 91202-2896
Phone (818) 956-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000359 CA Part B Supplier - Clinic/Group Practice 1850577222 Receives reassigned benefits from 3 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Locations

217 E 3rd St
Corona, CA 92879
Phone (951) 273-1188

501 W Glenoaks Blvd
Ste 119
Glendale, CA 91202

501 W Glenoaks Blvd
#119
Glendale, CA 91202
Phone (818) 956-1010

12134 Victory Blvd
North Hollywood, CA 91606
Phone (818) 433-7323

735 S D St
Perris, CA 92570
Phone (951) 657-3177

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1346536109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W GLENOAKS BLVD",
            "address_2": "SUITE 119",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022896",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031928",
            "telephone_number": "818-956-1010",
            "fax_number": "818-543-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. WEISE, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-02-12",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "818-956-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.