Individual provider Active NPI

Lawrence Martin Weiss, M.D.

  • Anatomic Pathology Physician
  • Aliso Viejo, CA
National Provider Identifier
1356308159
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
C41422 Issued in CA
Practice address
31 Columbia
Aliso Viejo, CA 92656-1460
Phone
(949) 643-7357
Fax
(949) 425-5865
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X C41422 CA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C41422 CA

Addresses

Primary practice location

31 Columbia
Aliso Viejo, CA 92656-1460

Mailing address

31 Columbia
Aliso Viejo, CA 92656-1460
Phone (949) 643-7357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000531 CA Practitioner - Pathology 7517924368 Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C41422CAMDAnatomic Pathology & Clinical Pathology Physician
41422CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neogenomics Laboratories Inc PastSince Jan 1, 2016 Accepting new patients
Clarient Diagnostic Services, Inc. Past Accepting new patients
Neogenomics Laboratories Inc Past Accepting new patients
California Cancer Specialists Medical Group Inc Anatomic Pathology & Clinical Pathology PastSince Dec 14, 2001 Accepting new patients

Organizations & group practices 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1356308159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "949-643-7357",
            "fax_number": "949-425-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COLUMBIA",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561460",
            "telephone_number": "949-643-7357",
            "fax_number": "949-425-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAWRENCE",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "C41422",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C41422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.