John C Weaver MD a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G35959 Issued in CA

Legal business name

JOHN C WEAVER MD A PROFESSIONAL CORPORATION

Practice address

204 S Atlantic Blvd
Suite 2
Los Angeles, CA 90022-1755

Phone

(323) 724-8164

Fax

(323) 724-9207

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John C Weaver, M.D.

Title

President

Phone

(323) 724-8164

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Maria Victoria Alfaro, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1225131535
  NPD (past)
• Ruth Suzanne Fontaine, M.D., M.A.

  • General Practice Physician
  • Sun Valley, CA
  • NPI 1144384066
  NPD (past)
• John V Watkins, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
  • NPI 1851367718
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366577744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902320424",
            "telephone_number": "323-724-8164",
            "fax_number": "323-724-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S ATLANTIC BLVD",
            "address_2": "SUITE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221755",
            "telephone_number": "323-724-8164",
            "fax_number": "323-724-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C WEAVER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-724-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G35959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Keiko Johiro, MN, RN, FNP-BC, FNP-
• John B Simonds M.D., Inc.
• John Blake's Wigs and Facial Hair, Inc.
• John Blakes Cranial Prosthetics and Hair, Inc
• John C Moore MD PC
• John C. Kang, MD, a Professional Corporation
• John C. Kang, MD, a Professional Corporation
• John C. Peterson D.D.S. (Craig B. Pursuit D.D.S. Inc.)
• John Chang MD PC
• John F. Diaz, M.D., a Professional Corporation

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.